Active NPI
Sally Denise Oxendine, MA, LCASA
- Addiction (Substance Use Disorder) Counselor
- High Point, NC
National Provider Identifier
1699230136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 24564
- Practice address
- 1001 Phillips Ave Ste 102
High Point, NC 27262-7252 - Phone
- (910) 740-3571
- Fax
- (919) 522-0465
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24564 | NC | Primary |
Addresses
Primary practice location
1001 Phillips Ave Ste 102
High Point, NC 27262-7252
Mailing address
PO Box 3781
Pembroke, NC 28372-3781
Phone (910) 522-0408
Other practice location 1
86 Three Hunts Drive
Pembroke, NC 28372
Phone (910) 740-3571
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24564 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1699230136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3781",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283723781",
"telephone_number": "910-522-0408",
"fax_number": "910-522-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PHILLIPS AVE STE 102",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627252",
"telephone_number": "910-740-3571",
"fax_number": "919-522-0465"
}
],
"practiceLocations": [
{
"address_1": "86 Three Hunts Drive",
"address_purpose": "LOCATION",
"city": "Pembroke",
"state": "NC",
"postal_code": "28372",
"country_code": "US",
"telephone_number": "910-740-3571",
"fax_number": "910-522-0465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OXENDINE",
"first_name": "SALLY",
"middle_name": "DENISE",
"credential": "MA, LCASA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-08",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "24564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.