Individual provider Active NPI

Pansy Daniels Adams, LCMHCS, LCAS, CCS

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1932231891
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S10914 Issued in NC
Practice address
3802 Robert Porcher Way
Greensboro, NC 27410-2190
Phone
(336) 389-6072
Fax
(336) 389-6126
NPI assigned
Mar 9, 2007
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-1691 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X CCS-467 NC
Mental Health Counselor 101YM0800X S10914 NC Primary
Mental Health Counselor 101YM0800X 10914 NC

Addresses

Primary practice location

3802 Robert Porcher Way
Greensboro, NC 27410-2190

Mailing address

3802 Robert Porcher Way
Greensboro, NC 27410-2190
Phone (336) 389-6072

Other practice location 1

725 Highland Ave
Suite 100
Winston Salem, NC 27101-4180
Phone (336) 607-8523 ext. 6137

Other identifiers 10

IdentifierTypeStateIssuer
0690OtherGACERT RISK RED PROG INSTRU
C-33801OtherGACERT CLINICAL EVALUATOR
10914OtherNCLICENSED PROFESSIONAL COUNSELOR
1518OtherGACACII CERT ADD COUNS II
467OtherNCCERTIFIED CLINICAL SUPERVISOR
11841OtherGASAP SUBSTANCE ABUSE PROF
1691OtherNCLICENSED CLINICIAL ADDICTION SPECIALIST
1932231891MedicaidNC
LPC004663OtherGALICENSED PROFESSIONAL COUNSELOR
T-34401OtherGAASAM LEVEL I TX PROVIDER

Other names 1

  • Ms. Pansy Daniels Former name

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

LicenseStateTypeSpecialty
CCS-467NCMDAddiction (Substance Use Disorder) Counselor
LCAS-1691NCMDAddiction (Substance Use Disorder) Counselor
S10914NCMDMental Health Counselor
10914NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Daymark Recovery Servcies Inc Addiction (Substance Use Disorder) 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1932231891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 ROBERT PORCHER WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102190",
            "telephone_number": "336-389-6072",
            "fax_number": "336-389-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 ROBERT PORCHER WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102190",
            "telephone_number": "336-389-6072",
            "fax_number": "336-389-6126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Highland Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271014180",
            "country_code": "US",
            "telephone_number": "336-607-8523 x6137",
            "fax_number": "336-773-0914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "PANSY",
        "middle_name": "DANIELS",
        "name_prefix": "Mrs.",
        "credential": "LCMHCS, LCAS, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-1691",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CCS-467",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S10914",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10914",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERT RISK RED PROG INSTRU",
            "identifier": "0690",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERT CLINICAL EVALUATOR",
            "identifier": "C-33801",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "10914",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CACII CERT ADD COUNS II",
            "identifier": "1518",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED CLINICAL SUPERVISOR",
            "identifier": "467",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAP SUBSTANCE ABUSE PROF",
            "identifier": "11841",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICIAL ADDICTION SPECIALIST",
            "identifier": "1691",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932231891",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC004663",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASAM LEVEL I TX  PROVIDER",
            "identifier": "T-34401",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PANSY",
            "last_name": "DANIELS",
            "prefix": "MS.",
            "credential": "LCMHCS, LCAS, CCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.