NPIMap

Organization Active NPI

Stonebraker'S Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Greensboro, NC
National Provider Identifier
1689841009
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MHL-041-742 Issued in NC
Legal business name
STONEBRAKER'S INC.
Practice address
3714 Alliance Dr Ste 400
Greensboro, NC 27407-2060
Phone
(336) 852-3033
Fax
(336) 852-3133
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mr. Michael C. Stonebraker, CCS, CSACNPI 1760710180
Title
Executive Director
Phone
(336) 852-3033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X MHL-041-742 NC Primary

Addresses

Primary practice location

3714 Alliance Dr Ste 400
Greensboro, NC 27407-2060

Mailing address

3714 Alliance Dr Ste 400
Greensboro, NC 27407-2060
Phone (336) 852-3033

Other names 1

  • The Insight Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stonebraker'S Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3714 Alliance Dr
Ste 400
Greensboro, NC 27407
Phone (336) 852-3033

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1689841009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 ALLIANCE DR STE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072060",
            "telephone_number": "336-852-3033",
            "fax_number": "336-852-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 ALLIANCE DR STE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072060",
            "telephone_number": "336-852-3033",
            "fax_number": "336-852-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRAKER'S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "STONEBRAKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-852-3033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCS, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL-041-742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Insight Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.