Active NPI
Duboris James Peterkin
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1427923291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-26285
- Practice address
- 3824 Barrett Dr Ste 105
Raleigh, NC 27609-7220 - Phone
- (919) 790-7775
- Fax
- (919) 790-9755
- NPI assigned
- Oct 9, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-26285 | NC | Primary |
Addresses
Primary practice location
3824 Barrett Dr Ste 105
Raleigh, NC 27609-7220
Mailing address
224 Crossfire Rd
Holly Springs, NC 27540-8560
Phone (919) 790-7775
Other practice location 1
301 S Church St
Rocky Mount, NC 27804-5755
Phone (919) 790-7775
Other practice location 2
3013 S Church St
Burlington, NC 27215-5154
Phone (919) 790-7775
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-26285 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Care Solutions Inc | Single Specialty | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1568595510
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1427923291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 CROSSFIRE RD",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275408560",
"telephone_number": "919-790-7775",
"fax_number": "919-790-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3824 BARRETT DR STE 105",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097220",
"telephone_number": "919-790-7775",
"fax_number": "919-790-9755"
}
],
"practiceLocations": [
{
"address_1": "301 S Church St",
"address_purpose": "LOCATION",
"city": "Rocky Mount",
"state": "NC",
"postal_code": "278045755",
"country_code": "US",
"telephone_number": "919-790-7775",
"fax_number": "919-790-9755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3013 S Church St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NC",
"postal_code": "272155154",
"country_code": "US",
"telephone_number": "919-790-7775",
"fax_number": "919-790-9755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERKIN",
"first_name": "DUBORIS",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-26285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.