Active NPI
Timothy P. Dailey, LPC
- Professional Counselor
- Clyde, NC
National Provider Identifier
1104951763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2919
- Practice address
- 111 Sneed Dr
Clyde, NC 28721-8468 - Phone
- (828) 627-9254
- Fax
- (828) 627-8811
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2919 | NC | |
| Professional Counselor | 101YP2500X | 2919 | NC | Primary |
Addresses
Primary practice location
111 Sneed Dr
Clyde, NC 28721-8468
Mailing address
PO Box 338
204 Idol Drive
Thomasville, NC 27361-0338
Phone (336) 474-1276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102842 | Medicaid | NC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Children'S Homes of North Carolina | 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 and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Clyde, NC
- NPI 1033259403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1104951763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 338",
"address_2": "204 IDOL DRIVE",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273610338",
"telephone_number": "336-474-1276",
"fax_number": "336-472-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SNEED DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "287218468",
"telephone_number": "828-627-9254",
"fax_number": "828-627-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILEY",
"first_name": "TIMOTHY",
"middle_name": "P.",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "2919",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102842",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.