Active NPI
Tyler Lee Stocks, MS
- Counselor
- Greenville, NC
National Provider Identifier
1598548109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 620 Lynndale CT Ste C
Greenville, NC 27858-5462 - Phone
- (252) 752-8602
- Fax
- (252) 752-8103
- NPI assigned
- Aug 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-29052 | NC | |
| Mental Health Counselor | 101YM0800X | STOC-J827Z3 | NC | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
620 Lynndale CT Ste C
Greenville, NC 27858-5462
Mailing address
977 Mac Allen Rd
Winterville, NC 28590-7737
Phone (252) 717-3350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-29052 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| STOC-J827Z3 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Counseling Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
620 Lynndale Ct
Ste C
Greenville, NC 27858
Phone (252) 752-8602
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Greenville, NC
- NPI 1548390933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1598548109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 MAC ALLEN RD",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285907737",
"telephone_number": "252-717-3350",
"fax_number": "252-752-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 LYNNDALE CT STE C",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585462",
"telephone_number": "252-752-8602",
"fax_number": "252-752-8103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKS",
"first_name": "TYLER",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-29052",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "STOC-J827Z3",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.