Individual provider Active NPI

Duboris James Peterkin

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
National Provider Identifier
1427923291
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-26285 Issued in NC
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

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
LCAS-26285NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.