CMS-1500 Box 24J / 33a • NPI
1023490109
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101YA0400X
Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)
Box 32 Service Location & ZIP+4
3904 AIRPORT DR NW, WILSON, NC, 27896-8040
✓ 9-Digit EDI 837 ZIP+4 (27896-8040)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1023490109 (LACEMOND BANKS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1023490109 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LACEMOND BANKS |
| Plain-English Specialty | Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) NUCC Code: 101YA0400X (Counselor, Addiction (Substance Use Disorder)) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3904 AIRPORT DR NW, WILSON, NC, 27896-8040 |
| Practice Telephone / Fax | Tel: (919) 949-5544 |
| Administrative Mailing Address | PO BOX 2071, WENDELL, NC, 27591-2071 |
| Enumeration & Last Sync | Enumerated: 2015-06-24 | CMS Record Updated: 2023-06-27 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (101YA0400X)
What Does Taxonomy Code 101YA0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YA0400X translates to:
"Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LACEMOND BANKS)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
341600000X — AmbulancePlain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance | State: N/A | License: Verified | Primary: Secondary |
3416L0300X — Ambulance, Land TransportPlain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance | State: N/A | License: Verified | Primary: Secondary |
343800000X — Secured Medical Transport (VAN)Plain English: Licensed & Credentialed Secured Medical Transport (VAN) | State: N/A | License: Verified | Primary: Secondary |
343800000X — Secured Medical Transport (VAN)Plain English: Licensed & Credentialed Secured Medical Transport (VAN) | State: NC | License: 465435628 | Primary: Secondary |
343900000X — Non-emergency Medical Transport (VAN)Plain English: Licensed & Credentialed Non-emergency Medical Transport (VAN) | State: N/A | License: Verified | Primary: Secondary |
347B00000X — BusPlain English: Licensed & Credentialed Bus | State: N/A | License: Verified | Primary: Secondary |
347B00000X — BusPlain English: Licensed & Credentialed Bus | State: NC | License: 465435628 | Primary: Secondary |
347C00000X — Private VehiclePlain English: Licensed & Credentialed Private Vehicle | State: N/A | License: Verified | Primary: Secondary |
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | State: NC | License: 22070 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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