Active NPI
Latasha Monique Dais, LCMHC, LCAS, CAMS-II
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 25322
- Practice address
- 4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010 - Phone
- (252) 549-0092
- NPI assigned
- May 28, 2019
- 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 | 25322 | NC | Primary |
Addresses
Primary practice location
4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Mailing address
4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Phone (252) 549-0092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15016 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pride in North Carolina, LLC | Mental Health | Current | Accepting new patients |
| Pride in North Carolina, LLC | Mental Health | Current | Accepting new patients |
| Brighter Days Counseling & Wellness | Current | Accepting new patients |
Locations
208 Malloy St
Ste B
Goldsboro, NC 27534
Phone (984) 520-6080
231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080
2902 N Herritage St
#A
Kinston, NC 28501
Phone (252) 520-6740
4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301
5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Greenville, NC
- NPI 1760420186
Mental Health
-
- Professional Counselor
- Goldsboro, NC
- NPI 1336974443
-
- Community/Behavioral Health Agency
- Jacksonville, NC
- NPI 1821136581
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1992362719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 WAKE FOREST RD STE 349",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276090010",
"telephone_number": "252-549-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 WAKE FOREST RD STE 349",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276090010",
"telephone_number": "252-549-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAIS",
"first_name": "LATASHA",
"middle_name": "MONIQUE",
"credential": "LCMHC, LCAS, CAMS-II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "25322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.