Individual provider Active NPI

Cameron Wade, RDT, LCASA

  • Addiction (Substance Use Disorder) Counselor
  • Durham, NC
National Provider Identifier
1538746300
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
30323 Issued in NC
Practice address
3710 University Dr Ste 100
Durham, NC 27707-6208
Phone
(919) 906-4390
Fax
(919) 287-2707
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Drama Therapist 101200000X 712
Addiction (Substance Use Disorder) Counselor 101YA0400X 30323 NC Primary

Addresses

Primary practice location

3710 University Dr Ste 100
Durham, NC 27707-6208

Mailing address

3710 University Dr Ste 100
Durham, NC 27707-6208
Phone (919) 906-4390

Other practice location 1

915 Country Club Dr
Durham, NC 27712-2467
Phone (919) 810-6238

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
30323NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1538746300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 UNIVERSITY DR STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076208",
            "telephone_number": "919-906-4390",
            "fax_number": "919-287-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 UNIVERSITY DR STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076208",
            "telephone_number": "919-906-4390",
            "fax_number": "919-287-2707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277122467",
            "country_code": "US",
            "telephone_number": "919-810-6238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "CAMERON",
        "credential": "RDT, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "",
            "desc": "Drama Therapist",
            "state": null,
            "license": "712",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "30323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.