Organization Active NPI

Oasis Therapeutic Services PLLC

  • Community/Behavioral Health Agency
  • Gastonia, NC
National Provider Identifier
1952032898
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OASIS THERAPEUTIC SERVICES PLLC
Practice address
3481 Bear Den Dr
Gastonia, NC 28052-0009
Phone
(704) 689-1577
Fax
(980) 422-0383
NPI assigned
Jun 21, 2022
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Mrs. Razhedatequila Eunicetage Sanford, LCSW LCAS, CSINPI 1306374160
Title
Owner
Phone
(704) 689-1577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3481 Bear Den Dr
Gastonia, NC 28052-0009

Mailing address

3481 Bear Den Dr
Gastonia, NC 28052-0009
Phone (704) 689-1577

Other practice location 1

543 Cox Rd Ste C7
Gastonia, NC 28054-0634
Phone (704) 689-1577

Other practice location 2

5808 Knightdale Blvd
Knightdale, NC 27545-8654
Phone (704) 689-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240614002141 NC Part B Supplier - Clinic/Group Practice 4880137199 Receives reassigned benefits from 1 practitioner
Practice locations: Gastonia, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1952032898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 BEAR DEN DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280520009",
            "telephone_number": "704-689-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 BEAR DEN DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280520009",
            "telephone_number": "704-689-1577",
            "fax_number": "980-422-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Cox Rd Ste C7",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280540634",
            "country_code": "US",
            "telephone_number": "704-689-1577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5808 Knightdale Blvd",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275458654",
            "country_code": "US",
            "telephone_number": "704-689-1577",
            "fax_number": "980-422-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OASIS THERAPEUTIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "RAZHEDATEQUILA",
        "authorized_official_middle_name": "EUNICETAGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-689-1577",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW LCAS, CSI"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.