Amanda Daffron, MAED

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1700 Cargo CT
Louisville, KY 40299-1938

Phone

(800) 805-6989

NPI assigned

Sep 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Haines Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Crossroads Treatment Center of Louisville, PSC

  • Methadone Clinic
  • Jeffersontown, KY
  • NPI 1649797507
  NPD (past)

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1992473383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 S 3RD ST APT 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081453",
            "telephone_number": "314-456-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CARGO CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991938",
            "telephone_number": "800-805-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFFRON",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MAED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HAINES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Dadi, APRN
• Skylar Daeschner
• Shaza Basbar Dafalla
• Amanda Marie Daffer, NP
• Morgan Daffin, PSYD
• Swati Mayur Daftary, MD
• Pawan Daga
• David A Dageforde, MD
• Rabin Dahal
• Jean Carlo Daher, MD

• Addiction (Substance Use Disorder) Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.