Mark Sturgis Jr., LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

24845 Issued in NC

Practice address

1933 Jake Alexander Blvd W
Salisbury, NC 28147-1126

Phone

(704) 762-9219

NPI assigned

May 21, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Great Rose Counseling Associates

  • Addiction (Substance Use Disorder) Counselor
  • Concord, NC
  • NPI 1043098585
  NPD Authorized official
• The Serenity House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Concord, NC
  • NPI 1073634408
  NPD (past)

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1700443207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13032 GRAYMIST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282156030",
            "telephone_number": "704-791-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 JAKE ALEXANDER BLVD W",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471126",
            "telephone_number": "704-762-9219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5104 Reagan Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282061396",
            "country_code": "US",
            "telephone_number": "704-596-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STURGIS",
        "first_name": "MARK",
        "name_suffix": "Jr.",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18695",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "24845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154545663",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Robert Strong, FNP
• Joel Daniel Stroot, DDS
• Stuemke Consulting, Inc.
• Mark O Stuemke, HEARING INSTRUMENT S
• Kacey Lauren Sturdivant, SLP
• Samantha Graves Suffren, MD
• Kelly Goodson Sugarman, PHARMD
• Kathy Lynn Sukel
• Yuthapong Sukkasem, MD
• Kathryn T Sullivan, OTR

• Addiction (Substance Use Disorder) Counselor in Salisbury, NC
• Providers in Salisbury, 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 Nov 2, 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.