Stepping Stone of North Carolina, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

STEPPING STONE OF NORTH CAROLINA, LLC

Practice address

643 Greenway Rd
Suite: L
Boone, NC 28607-4819

Phone

(828) 265-7078

Fax

(888) 469-4994

NPI assigned

Oct 12, 2012

Last updated

Jul 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robyn Tanis

Title

Executive Director of Contract Mana

Phone

(856) 533-8762

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ray Mercado, DO

  • General Practice Physician
  • Scarsdale, NY
  • NPI 1275606030
  NPD
• Lesa Pizzi, NP

  • Nurse Practitioner
  • Boone, NC
  • NPI 1063233948
  NPD (past)

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1598017733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73 STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "185-653-3876",
            "fax_number": "888-469-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 GREENWAY RD",
            "address_2": "SUITE: L",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074819",
            "telephone_number": "828-265-7078",
            "fax_number": "888-469-4994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 W Park Cir",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286593548",
            "country_code": "US",
            "telephone_number": "336-568-0271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPPING STONE OF NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MANA",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL-095-046",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "NC-10072-M",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "NC-10072-M",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jammie M. Starr, LCSW
• Cordelia R Stearns, M.D., AAHIVS
• Emily Anne Steffen, M.S
• Marshall Jay Stein, MD
• Stephanie Langston PH.D., PLLC
• Amber Oliver Stern, FNP
• Steven Airey DDS-PA
• Amanda Michelle Stevens, FNP-C
• Lisa Ann Stewart, CLWC
• Rosalie Stewart, LCMHC

• Methadone Clinic in Boone, NC
• Providers in Boone, NC by specialty
• Methadone Clinic in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.