Active NPI
Mary Rome Daniel
- Marriage & Family Therapist
- Wilson, NC
National Provider Identifier
1548117906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 20743A
- Practice address
- 3204 Nash St N Ste B
Wilson, NC 27896-3002 - Phone
- (252) 216-4248
- NPI assigned
- Mar 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 20743A | NC | Primary |
Addresses
Primary practice location
3204 Nash St N Ste B
Wilson, NC 27896-3002
Mailing address
301 Lafayette Dr NW
Wilson, NC 27893-2213
Phone (252) 399-9850
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 |
|---|---|---|---|
| 20743A | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindred Pediatric & Family Therapy, PLLC | 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.
-
- Mental Health Counselor
- Wilson, NC
- NPI 1780532721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1548117906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LAFAYETTE DR NW",
"city": "WILSON",
"state": "NC",
"postal_code": "278932213",
"telephone_number": "252-399-9850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 NASH ST N STE B",
"city": "WILSON",
"state": "NC",
"postal_code": "278963002",
"telephone_number": "252-216-4248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "MARY ROME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-13",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "20743A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.