Active NPI
Keith Raymond McAdam, LCSW, LCAS
- Addiction (Substance Use Disorder) Counselor
- Durham, NC
National Provider Identifier
1578840781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1623
- Practice address
- 411 Andrews Rd
Suite 130
Durham, NC 27705-2993 - Phone
- (919) 682-5777
- Fax
- (919) 687-6975
- NPI assigned
- Nov 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1623 | NC | Primary |
| Clinical Social Worker | 1041C0700X | C006674 | NC |
Addresses
Primary practice location
411 Andrews Rd
Suite 130
Durham, NC 27705-2993
Mailing address
411 Andrews Street
Suite 130
Durham, NC 27705
Phone (919) 682-5777
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 |
|---|---|---|---|
| C006674 | NC | MD | Clinical Social Worker |
| 1623 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Community Support Services, Inc. | Past | Accepting new patients | |
| Carolina Community Support Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1144524703
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1912144312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1578840781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 ANDREWS STREET",
"address_2": "SUITE 130",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "919-682-5777",
"fax_number": "919-687-6975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 ANDREWS RD",
"address_2": "SUITE 130",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052993",
"telephone_number": "919-682-5777",
"fax_number": "919-687-6975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCADAM",
"first_name": "KEITH",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "LCSW, LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1623",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006674",
"primary": false
}
],
"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 Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.