Active NPI
Adaptive Integrated Methods, LLC
- Addiction (Substance Use Disorder) Counselor
- Durham, NC
National Provider Identifier
1164788337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- MHL-032-572
- Legal business name
- ADAPTIVE INTEGRATED METHODS, LLC
- Practice address
- 400 Crutchfield St
Suite a
Durham, NC 27704-2771 - Phone
- (919) 471-5474
- Fax
- (919) 471-5475
- NPI assigned
- Apr 2, 2012
- Last updated
- Apr 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Basil D Halliday
- Title
- Sole MBR
- Phone
- (919) 471-5474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MHL-032-572 | NC | Primary |
Addresses
Primary practice location
400 Crutchfield St
Suite a
Durham, NC 27704-2771
Mailing address
400 Crutchfield St
Suite a
Durham, NC 27704-2771
Phone (919) 471-5474
National Provider Directory
National Provider DirectoryLocations
400 Crutchfield St
Ste A
Durham, NC 27704
Phone (919) 471-5474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333324800000",
"number": "1164788337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CRUTCHFIELD ST",
"address_2": "SUITE A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042771",
"telephone_number": "919-471-5474",
"fax_number": "919-471-5475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CRUTCHFIELD ST",
"address_2": "SUITE A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042771",
"telephone_number": "919-471-5474",
"fax_number": "919-471-5475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAPTIVE INTEGRATED METHODS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-02",
"last_updated": "2012-04-02",
"status": "A",
"authorized_official_last_name": "HALLIDAY",
"authorized_official_first_name": "BASIL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "919-471-5474"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "MHL-032-572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.