Active NPI
Deborah Jo Hoffman, LCAS
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1700919412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 507
- Practice address
- 3000 Falstaff Rd
Raleigh, NC 27610-1813 - Phone
- (919) 250-1539
- Fax
- (919) 250-1597
- NPI assigned
- Mar 13, 2007
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 507 | NC | Primary |
Addresses
Primary practice location
3000 Falstaff Rd
Raleigh, NC 27610-1813
Mailing address
10221 Walter Myatt Rd
Fuquay Varina, NC 27526-7878
Phone (919) 639-2074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6111846 | Medicaid | NC |
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 |
|---|---|---|---|
| 507 | NC | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700919412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10221 WALTER MYATT RD",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275267878",
"telephone_number": "919-639-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 FALSTAFF RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101813",
"telephone_number": "919-250-1539",
"fax_number": "919-250-1597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "DEBORAH",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "LCAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6111846",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.