Active NPI
Gary Stephen Kaufman, LCMHCS
- Professional Counselor
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2879
- Practice address
- 205 Memorial Dr
Pinehurst, NC 28374-8712 - Phone
- (910) 295-6853
- NPI assigned
- Sep 6, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 291 | NC | |
| Mental Health Counselor | 101YM0800X | S2879 | NC | |
| Professional Counselor | 101YP2500X | 2879 | NC | Primary |
Addresses
Primary practice location
205 Memorial Dr
Pinehurst, NC 28374-8712
Mailing address
2212 Hwy 731 W
Mount Gilead, NC 27306
Phone (704) 301-2821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291 | NC | MD | Clinical Psychologist |
| 2879 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Mental Health | Current | Accepting new patients |
Locations
284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118
1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836
205 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-2040
2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616
Interoperability endpoints
- gary.kaufman.p1@direct.daymarkrecovery.nextgenshare.com
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.
-
- Multi-Specialty Clinic/Center
- Concord, NC
- NPI 1558329243
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1902909989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 HWY 731 W",
"city": "MOUNT GILEAD",
"state": "NC",
"postal_code": "27306",
"telephone_number": "704-301-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748712",
"telephone_number": "910-295-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "GARY",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "LCMHCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2022-07-08",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "291",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "S2879",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.