Active NPI
Daria Siegel, LPCA, MS
- Mental Health Counselor
- Durham, NC
National Provider Identifier
1205491032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A14224
- Practice address
- 1915 Chapel Hill Rd Ste a
Durham, NC 27707-1177 - Phone
- (919) 246-5664
- NPI assigned
- May 7, 2019
- Last updated
- May 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A14224 | NC | Primary |
Addresses
Primary practice location
1915 Chapel Hill Rd Ste a
Durham, NC 27707-1177
Mailing address
109 Shadowood Dr Apt X
Chapel Hill, NC 27514-2410
Phone (704) 724-1097
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A14224 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Extensions 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.
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1336302611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1205491032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SHADOWOOD DR APT X",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142410",
"telephone_number": "704-724-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 CHAPEL HILL RD STE A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071177",
"telephone_number": "919-246-5664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "DARIA",
"credential": "LPCA, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A14224",
"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 May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.