Individual provider Active NPI

Tyler Lee Stocks, MS

  • Counselor
  • Greenville, NC
National Provider Identifier
1598548109
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCAS-29052NCMDAddiction (Substance Use Disorder) Counselor
STOC-J827Z3NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Counseling Inc Addiction (Substance Use Disorder) CurrentSince Jul 1, 2024 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.

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.

Verify at the official NPI Registry.