Active NPI
Breathe Resources
- Addiction (Substance Use Disorder) Counselor
- Monroe, NC
National Provider Identifier
1558842583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-22452
- Legal business name
- BREATHE RESOURCES
- Practice address
- 921 Skywatch LN
Monroe, NC 28112-7729 - Phone
- (704) 310-8942
- NPI assigned
- Aug 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leandra Salley, MSW
- Title
- Owner
- Phone
- (704) 310-8942
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-22452 | NC | Primary |
Addresses
Primary practice location
921 Skywatch LN
Monroe, NC 28112-7729
Mailing address
921 Skywatch LN
Monroe, NC 28112-7729
Phone (704) 310-8942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952756959 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540425600000",
"number": "1558842583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 SKYWATCH LN",
"city": "MONROE",
"state": "NC",
"postal_code": "281127729",
"telephone_number": "704-310-8942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 SKYWATCH LN",
"city": "MONROE",
"state": "NC",
"postal_code": "281127729",
"telephone_number": "704-310-8942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREATHE RESOURCES",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-28",
"last_updated": "2018-10-25",
"status": "A",
"authorized_official_last_name": "SALLEY",
"authorized_official_first_name": "LEANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-310-8942",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-22452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952756959",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.