Active NPI
Audrey Perry Dana, MS
- Addiction (Substance Use Disorder) Counselor
- Plymouth, MA
National Provider Identifier
1982749255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LADC 1 451
- Practice address
- 118 Long Pond Rd
Suite 100
Plymouth, MA 02360-2662 - Phone
- (508) 747-7783
- Fax
- (508) 747-7838
- NPI assigned
- Feb 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LADC 1 451 | MA | Primary |
Addresses
Primary practice location
118 Long Pond Rd
Suite 100
Plymouth, MA 02360-2662
Mailing address
PO Box 1068
Centerville, MA 02632-1068
Phone (508) 951-5958
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LADC 1 451 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982749255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1068",
"city": "CENTERVILLE",
"state": "MA",
"postal_code": "026321068",
"telephone_number": "508-951-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 LONG POND RD",
"address_2": "SUITE 100",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602662",
"telephone_number": "508-747-7783",
"fax_number": "508-747-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANA",
"first_name": "AUDREY",
"middle_name": "PERRY",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "LADC 1 451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
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.