Individual provider Active NPI

Daniel James Buongiorno, M-RAS, MATC, CAMS II

  • Addiction (Substance Use Disorder) Counselor
  • Kingston, TN
National Provider Identifier
1073468294
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
B1204051443 Issued in CA
Practice address
155 E Race St
Kingston, TN 37763-2800
Phone
(865) 270-2323
NPI assigned
Mar 3, 2026
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X B1204051443 CA Primary
Professional Counselor 101YP2500X 8027 TN

Addresses

Primary practice location

155 E Race St
Kingston, TN 37763-2800

Mailing address

155 E Race St
Kingston, TN 37763-2800
Phone (865) 270-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
B1204051443CAMDAddiction (Substance Use Disorder) Counselor
8027TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Recovery Center of Roane County Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1073468294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632800",
            "telephone_number": "865-270-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E RACE ST",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377632800",
            "telephone_number": "865-270-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONGIORNO",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "M-RAS, MATC, CAMS II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "B1204051443",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "8027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.