Stephens Outreach Center, Inc

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

STEPHENS OUTREACH CENTER, INC

Practice address

405A Dunn Rd
Lumberton, NC 28358-7913

Phone

(910) 738-7865

Fax

(910) 738-7876

NPI assigned

Oct 29, 2008

Last updated

May 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Shereese Moore, LCMHCS, LCASNPI 1356683148

Title

Ceo

Phone

(910) 738-7865

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Stephens Outreach Center, Inc

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1407977390

  O20111205000000

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Alicia Shereese Moore, LCAS-A

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1356683148
  NPD Authorized official
• Imani Nia Johnson, MS, MSW, LCSWA

  • Clinical Social Worker
  • Sanford, NC
  • NPI 1073938254
  NPD
• Franklin Michael Floyd, C.P.O

  • Prosthetics Case Management
  • Wilmington, NC
  • NPI 1407052947
  NPD (past)
• Lashanda Marriaa Loyd, LCSWA, LCASA

  • Clinical Social Worker
  • Lumberton, NC
  • NPI 1952862112
  NPD (past)

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1952554388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405A DUNN RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283587913",
            "telephone_number": "910-738-7865",
            "fax_number": "910-738-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405A DUNN RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283587913",
            "telephone_number": "910-738-7865",
            "fax_number": "910-738-7876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13104 Nc Highway 130 E",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "NC",
            "postal_code": "283409597",
            "country_code": "US",
            "telephone_number": "910-535-1423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016444",
            "country_code": "US",
            "telephone_number": "910-339-6831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHENS OUTREACH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "SHEREESE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-738-7865",
        "authorized_official_credential": "LCMHCS, LCAS"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL078149",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604154",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301487B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Evone Starling, DO
• Elaine Stearney
• Savanna Rose Steffen
• Stephens Outreach Center, Inc
• Stephens Outreach Center, Inc
• Deanna Rasmussen Stephens, FNP
• Frederick Hodge Stephens, LCSW
• Gina Stephens, FNP-BC
• Helena Frances Stephens
• Matthew Christopher Stephens, PA-C

• Addiction Medicine (Family Medicine) Physician in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Addiction Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.