FOCUSED ADDICTION RECOVERY LLC
NPI 1114789666
Counselor - Addiction (Substance Use Disorder) in Wallace, NC

Active since January 29, 2024CLIA 34D2276085 · Waiver
102 W MAIN ST, WALLACE, NC 28466(910) 788-4242 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Focused Addiction Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOCUSED ADDICTION RECOVERY LLC (NPI 1114789666) is a healthcare organization registered as an addiction (substance use disorder) in Wallace, North Carolina and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Charles Jackson, Cco, as its authorized official.

NPPES Registry Identity

NPI1114789666
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameFOCUSED ADDICTION RECOVERY LLC
Location Address102 W MAIN STWallace, NC 28466-2902
Mailing Address102 W Main StWallace, NC 28466-2902
Organization SubpartNo
Authorized OfficialCharles JacksonCco · (480) 520-7921
Enumeration DateJanuary 29, 2024
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
NPI 1114789666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
102 W MAIN ST, Wallace, NC 28466

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2276085

Focused Addiction Recovery LLC · Wallace, NC
Active · expires Feb 1, 2027
CLIA Number34D2276085
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorAnne D. Alexander
Laboratory Phone(910) 788-4242
Laboratory LocationFocused Addiction Recovery LLC102 W. Main St., Wallace, NC 28466
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation, Substance Use Disorder)
102 W MAIN ST
WALLACE, NC 28466
General Practice
102 W MAIN ST
WALLACE, NC 28466
Physician Assistant
102 W MAIN ST
WALLACE, NC 28466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Focused Addiction Recovery LLC's NPI number?

The NPI number for Focused Addiction Recovery LLC is 1114789666. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is Focused Addiction Recovery LLC located?

Focused Addiction Recovery LLC is located at 102 W Main St, Wallace, NC 28466. The listed phone number is (910) 788-4242.

What is Focused Addiction Recovery LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does Focused Addiction Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2276085) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Focused Addiction Recovery LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Focused Addiction Recovery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Focused Addiction Recovery LLC was last updated on August 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.