Active NPI
Danielle Marie Skelly, LMFTA
- Marriage & Family Therapist
- Southern Pines, NC
National Provider Identifier
1477433134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 20852A
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20852A | NC | MD | Marriage & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.