Daniel Jerome McDuffie

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

MHL079119 Issued in NC

Practice address

106 Gilmer St
Reidsville, NC 27320-3870

Phone

(336) 324-3829

NPI assigned

Jul 27, 2011

Last updated

Jul 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1740568625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 ALAMANCE CHURCH RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069432",
            "telephone_number": "336-272-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GILMER ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203870",
            "telephone_number": "336-324-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDUFFIE",
        "first_name": "DANIEL",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL079119",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "MHL079119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Martinez, DNP, FNP-C
• Janae Massey
• Vanessa Matos
• Maxim Healthcare Services, Inc.
• Samuel Grainger McDowell, M.D.
• Shannon G McElroy, PA-C
• Benjamin Ivan McKinney, DPM
• Valarie C McNair, NCC, LPC-A
• Metropolitan Milestones Center, LLC
• Metropolitan Milestones Therapy, PLLC

• Addiction (Substance Use Disorder) Counselor in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.