Active NPI
James Smith
- Addiction (Substance Use Disorder) Counselor
- Lumberton, NC
National Provider Identifier
1891571311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CADC-25043
- Practice address
- 511 Martin Luther King Jr Dr Ste a
Lumberton, NC 28358-5443 - Phone
- (984) 238-5756
- NPI assigned
- Sep 1, 2023
- Last updated
- Sep 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CADC-25043 | NC | Primary |
| Pastoral Counselor | 101YP1600X | NC | ||
| Pastoral Counselor | 101YP1600X |
Addresses
Primary practice location
511 Martin Luther King Jr Dr Ste a
Lumberton, NC 28358-5443
Mailing address
3126 Emerywood Rd
Eastover, NC 28312-8582
Phone (910) 474-3192
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CADC-25043 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resources for Humanity | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Change Within Your Reach | Current | Accepting new patients |
Locations
511 Martin Luther King Jr Dr
Ste A
Lumberton, NC 28358
Phone (910) 474-3192
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Eastover, NC
- NPI 1740977016
-
- Non-emergency Medical Transport (VAN)
- Lumberton, NC
- NPI 1477242782
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1891571311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 EMERYWOOD RD",
"city": "EASTOVER",
"state": "NC",
"postal_code": "283128582",
"telephone_number": "910-474-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 MARTIN LUTHER KING JR DR STE A",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283585443",
"telephone_number": "984-238-5756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "CADC-25043",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.