Sure Foundation Behavioral Health Services, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SURE FOUNDATION BEHAVIORAL HEALTH SERVICES, LLC

Practice address

3219 Landmark St Ste 3a
Greenville, NC 27834-7688

Phone

(252) 215-3089

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Gale Batts Shiver, BA,MS,LCAS,CCS,MAC,SNPI 1487943858

Title

Clinical Director

Phone

(252) 215-3089

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Gale Batts Shiver, LCAS, CCS, SAP, MAC

  • Addiction (Substance Use Disorder) Counselor
  • Greenville, NC
  • NPI 1487943858
  NPD Authorized official

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1700425501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8211",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278358211",
            "telephone_number": "252-215-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 LANDMARK ST STE 3A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347688",
            "telephone_number": "252-215-3089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 S George St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275305717",
            "country_code": "US",
            "telephone_number": "919-648-1913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURE FOUNDATION BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "SHIVER",
        "authorized_official_first_name": "GALE",
        "authorized_official_middle_name": "BATTS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "252-215-3089",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA,MS,LCAS,CCS,MAC,S"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Greenville, NC
• Providers in Greenville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.