Triad Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRIAD THERAPY, LLC

Practice address

7830 N Point Blvd
Suite 201
Winston Salem, NC 27106-3261

Phone

(336) 896-0904

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Quincy Rochelle Smiling, PH.D.NPI 1902939580

Title

Ceo

Phone

(336) 896-0904

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Quincy Rochelle Smiling, PH.D., LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Winston Salem, NC
  • NPI 1902939580
  NPD Authorized official
• Alphonza Faison Jr., FNP, RN

  • Nurse Practitioner
  • Greensboro, NC
  • NPI 1558844340
  Medicare reassignment
• John Randolph Smith, M.D.

  • Psychiatry Physician
  • Greensboro, NC
  • NPI 1780862763
  NPD (past)
• Angela L. Spicer, L.C.S.W.

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1831249663
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1881728012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12595",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271172595",
            "telephone_number": "803-720-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 N POINT BLVD",
            "address_2": "SUITE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063261",
            "telephone_number": "336-896-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "SMILING",
        "authorized_official_first_name": "QUINCY",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-896-0904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001837",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006089",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triad Recovery Center LLC
• Triad Respiratory Solutions Inc.
• Triad Safe Choice Mobility LLC
• Triad Sedation Associates, LLC
• Triad Surgical Associates, P.a.
• Triad Transportation, Inc
• Triad. Home Care, Inc
• Triage Behavioral Health Systems
• Triage Behavioral Health Systems
• Triage Behavioral Health Systems

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.