Individual provider Active NPI

Danielle Marie Skelly, LMFTA

  • Marriage & Family Therapist
  • Southern Pines, NC
National Provider Identifier
1477433134
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
20852A Issued in NC
Practice address
1295 Old US 1 Hwy Ste B
Southern Pines, NC 28387-6344
Phone
(910) 725-0211
Fax
(910) 725-0301
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 20852A NC Primary

Addresses

Primary practice location

1295 Old US 1 Hwy Ste B
Southern Pines, NC 28387-6344

Mailing address

632 W Prospect Ave
Raeford, NC 28376-2512
Phone (910) 875-5590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

512 S Glenwood TRL
Southern Pines, NC 28387-7546

632 W Prospect Ave
Raeford, NC 28376-2512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20852ANCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1477433134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W PROSPECT AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762512",
            "telephone_number": "910-875-5590",
            "fax_number": "910-875-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 OLD US 1 HWY STE B",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876344",
            "telephone_number": "910-725-0211",
            "fax_number": "910-725-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELLY",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "20852A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.