Larry Swinton, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20104 Issued in NC

Practice address

622 Roanoke Ave Ste a
Roanoke Rapids, NC 27870-2740

Phone

(252) 308-1247

NPI assigned

May 4, 2012

Last updated

Jun 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Statewide Mental Health & Disability Services PLLC

  • Community/Behavioral Health Agency
  • Roanoke Rapids, NC
  • NPI 1588942239
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1568721082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 ROANOKE AVE STE A",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702740",
            "telephone_number": "919-747-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 ROANOKE AVE STE A",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702740",
            "telephone_number": "252-308-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINTON",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Stone, M.D.
• Strategic Interventions, Inc
• Flaviane Strickland, BEHAVIOR ANALYST
• Supportive Living Concepts, Inc.
• Marqu'E Sutton, LCSWA, LCASA
• Robert E Sykes Jr., LMFT
• Karen Holloway Tanner, PTA
• Ericka Taylor-Daniel, MSN,APRN,PMHNP-BC,
• Adrianne Teague, LPC, LCASA
• Chanchamma Thannikkary, M.D.

• Addiction (Substance Use Disorder) Counselor in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.