Daniel Edwards

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-25353 Issued in NC

Practice address

309 Crutchfield St
Durham, NC 27704-2754

Phone

(919) 560-7305

NPI assigned

Apr 1, 2020

Last updated

Mar 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1225666340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 VICKERS AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013145",
            "telephone_number": "919-724-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CRUTCHFIELD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042754",
            "telephone_number": "919-560-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-25353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rii.credentialing@riinternational.com",
            "affiliation": "N",
            "address_1": "309 Crutchfield St",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277042754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward H Washington Jr
• Shibu Edward, MSN-AGNP-C
• Rebecca Elizabeth Edwards-Powell, LCSW
• Bathai Ishmael Elijah Edwards, MD
• Christopher Edwards, PHD
• Drake Scott Edwards, MD, PHD
• Frances Leigh Andersen Edwards, LCSW
• Jamal Rashawn Edwards, PT, DPT, ATC, CSCS
• Jennifer Smith Edwards, LPC
• Joi Lashawn Edwards, DPT

• Addiction (Substance Use Disorder) Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.