Active NPI
Sallie D Vallereux, LPC, LCAS
- Addiction (Substance Use Disorder) Counselor
- Statesville, NC
National Provider Identifier
1932286994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 473
- Practice address
- 515 Brookdale Dr
Statesville, NC 28677-4107 - Phone
- (704) 873-1697
- Fax
- (704) 873-1698
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 473 | NC | Primary |
Addresses
Primary practice location
515 Brookdale Dr
Statesville, NC 28677-4107
Mailing address
515 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-1697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10324 | Other | NC | BCBS |
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 |
|---|---|---|---|
| 473 | 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": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932286994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 BROOKDALE DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286774107",
"telephone_number": "704-873-1697",
"fax_number": "704-873-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 BROOKDALE DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286774107",
"telephone_number": "704-873-1697",
"fax_number": "704-873-1698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEREUX",
"first_name": "SALLIE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LPC, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10324",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.