Individual provider Active NPI

Tiffany Danielle Eggleston-Calloway, NCC, LPCA

  • Addiction (Substance Use Disorder) Counselor
  • Carrboro, NC
National Provider Identifier
1124458773
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A10465 Issued in NC
Practice address
400 Roberson St
Carrboro, NC 27510-2367
Phone
(919) 212-9397
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A10465 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X A10465 NC Primary

Addresses

Primary practice location

400 Roberson St
Carrboro, NC 27510-2367

Mailing address

400 Roberson St
Carrboro, NC 27510-2367

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625004255 NC Practitioner - Mental Health Counselor 4486166212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

3643 N Roxboro St
Durham, NC 27704-2702
Phone (919) 470-5356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A10465NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince May 19, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince May 19, 2025 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1124458773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROBERSON ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROBERSON ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102367",
            "telephone_number": "919-212-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON-CALLOWAY",
        "first_name": "TIFFANY",
        "middle_name": "DANIELLE",
        "credential": "NCC, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A10465",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "A10465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

Verify at the official NPI Registry.