DARYL DAVID GORDEN (NPI# 1447706999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447706999 |
| Entity Type | Individual |
| Full Name | DARYL DAVID GORDEN |
| Credential | MA, LCAS, LPC |
| Practice Address |
227 N Main St Troy NC 27371-3058 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1831 |
| Practice Telephone | 9105723681 |
| Practice Fax Number | 9105725579 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
22872 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1447706999 | 05 |
| Street Address |
227 N MAIN ST |
| City | TROY |
| State | NC |
| Zip Code | 27371-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992749568 | Heather A. Rogers | Psychiatry & Neurology | 227 N Main St, Troy, NC 27371-3015 | 2006-06-15 |
| 1821633736 | Carol Marie Shepard | Social Worker | 227 N Main St, Troy, NC 27371-3058 | 2019-11-14 |
| 1679064984 | Jordan Tyler Dewitt | Marriage & Family Therapist | 227 N Main St, Troy, NC 27371-3058 | 2018-05-22 |
| 1871083139 | Jennifer Pauline Beadell | Counselor | 227 N Main St, Troy, NC 27371 | 2018-05-12 |
| 1093215709 | Janet Floyd Hatley X | Clinical Nurse Specialist | 227 N Main St, Troy, NC 27371-3058 | 2018-02-19 |
| 1912411026 | Lisa Cockman Mcmasters | Clinical Nurse Specialist | 227 N Main St, Troy, NC 27371-3058 | 2017-11-28 |
| 1063964716 | Tyler Leigh-ann Talbert | Counselor | 227 N Main St, Troy, NC 27371-3058 | 2016-10-28 |
| 1629441423 | Beverly Jane Weary | Registered Nurse | 227 N Main St, Troy, NC 27371-3058 | 2015-11-03 |
| 1447622725 | Chanda Hance | Counselor | 227 N Main St, Troy, NC 27371-3058 | 2015-10-26 |
| 1104243617 | Christopher Clay Knotts | Counselor | 227 N Main St, Troy, NC 27371-3058 | 2014-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577442 | Fhpg, LLC | Nurse Practitioner | 770 Glen Rd, Troy, NC 27371 | 2020-10-30 |
| 1154954550 | Lane and Associates Xxxvii Dds Pa | Dentist | 473 Woods Street, Troy, NC 27371 | 2020-02-14 |
| 1124432315 | Derma Sleeves, LLC | Durable Medical Equipment & Medical Supplies | 102 W. Chestnut St., Troy, NC 27371 | 2014-06-16 |
| 1790098903 | Deborah Whitling | Social Worker | 318 N. Main St, Nc Mentor, Troy, NC 27371 | 2010-07-16 |
| 1689844649 | Robert M. Nelson | Counselor | 1011 Page, Troy, NC 27371 | 2008-03-06 |
| 1750592630 | National Mentor Health Care LLC | Social Worker | 318 N. Main St., Troy, NC 27371 | 2007-05-24 |
| 1639207954 | Montgomery County Council On Aging | Home Delivered Meals | 503 Page St, Troy, NC 27371 | 2007-02-28 |
| 1053450148 | Lisa Anne Atkins | Counselor | 318 North Main Street, Troy, NC 27371 | 2007-02-05 |
| 1134295850 | County of Montgomery | Clinic/Center | 217 South Main St, Troy, NC 27371 | 2006-11-27 |
| 1730262817 | Terry V Wood Dmd Pa | Dentist | 201 N Main, Troy, NC 27371 | 2006-10-23 |
| Find all providers in zip 27371 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1861903858 | Anew Perspective, Inc. | Counselor | 9 Maplebrooke Ct, Troy, IL 62294-2544 | 2017-10-17 |
| 1720448665 | Milestone Recovery Services LLC | Counselor | 225 N Main St # B, Troy, NC 27371-3061 | 2016-03-04 |
| 1679811855 | Jessica A Bennett | Counselor | 888 W Big Beaver Rd Ste 780, Troy, MI 48084-4745 | 2013-01-23 |
| 1942593124 | Taisiya Tess Larina | Counselor | 1801 6th Avenue, Continuing Treatment Services, Troy, NY 12180-3440 | 2011-05-23 |
| 1598054587 | Janice Ann Mills | Counselor | 1385 Creech School Road, Troy, MO 63379 | 2011-03-31 |
| 1194966176 | Eileen C Becker | Counselor | 1059 N. Market Street, Troy, OH 45373-1337 | 2009-03-20 |
| 1720237662 | Emily Sigel | Counselor | 16 1st St., Troy, NY 12180-3802 | 2008-09-16 |
| 1760631154 | David A Lorenzo | Counselor | 16 1st St, Troy, NY 12180-3802 | 2008-09-10 |
| 1093803322 | Edward J Witte | Counselor | 315 Public Sq, 209, Troy, OH 45373-5202 | 2006-10-11 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.