Darin Lewis Dantzler

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LDC0000001036 Issued in TN

Practice address

3155 Hickory Hill Rd
102 C
Memphis, TN 38115-2555

Phone

(901) 282-9738

Fax

(901) 310-4212

NPI assigned

Jun 11, 2013

Last updated

Jun 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Darin Lewis Dantzler Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Group Initiatives

  • Community/Behavioral Health Agency
  • Memphis, TN
  • NPI 1821239849
  Authorized official Same address or phone

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1215375316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 HICKORY HILL RD",
            "address_2": "102 C",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152555",
            "telephone_number": "901-282-9738",
            "fax_number": "901-310-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 HICKORY HILL RD",
            "address_2": "102 C",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152555",
            "telephone_number": "901-282-9738",
            "fax_number": "901-310-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTZLER",
        "first_name": "DARIN",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "LDC0000001036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARIN",
            "last_name": "DANTZLER",
            "middle_name": "LEWIS",
            "prefix": "MR.",
            "credential": "M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wakonda Daniels, DNP, AGACNP
• Liesl Denise Danley, MS, LPC-MHSP
• Kevin Danner, DO
• Danny Weiss, D.D.S., P.C.
• Latoya A Dansby, B.A., M.S.
• Shara Danziger, LPC (T), PLPC
• Johanna Marie Morascallo Daquil
• Dar Salud Care PLLC (Dar Salud Pharmacy)
• Dar Salud Care PLLC (Dar Salud Pharmacy)
• Darbco Holdings LLC (The Rx Shoppe)

• Addiction (Substance Use Disorder) Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.