Active NPI
Pansy Daniels Adams, LCMHCS, LCAS, CCS
- Mental Health Counselor
- Greensboro, NC
National Provider Identifier
1932231891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S10914
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0690 | Other | GA | CERT RISK RED PROG INSTRU |
| C-33801 | Other | GA | CERT CLINICAL EVALUATOR |
| 10914 | Other | NC | LICENSED PROFESSIONAL COUNSELOR |
| 1518 | Other | GA | CACII CERT ADD COUNS II |
| 467 | Other | NC | CERTIFIED CLINICAL SUPERVISOR |
| 11841 | Other | GA | SAP SUBSTANCE ABUSE PROF |
| 1691 | Other | NC | LICENSED CLINICIAL ADDICTION SPECIALIST |
| 1932231891 | Medicaid | NC | |
| LPC004663 | Other | GA | LICENSED PROFESSIONAL COUNSELOR |
| T-34401 | Other | GA | ASAM LEVEL I TX PROVIDER |
Other names 1
- Ms. Pansy Daniels
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 |
|---|---|---|---|
| CCS-467 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| LCAS-1691 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| S10914 | NC | MD | Mental Health Counselor |
| 10914 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Winston Salem, NC
- NPI 1790807535
Addiction (Substance Use Disorder)
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.