DESTINY NICOLE BAUER (NPI# 1396283669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396283669 |
| Entity Type | Individual |
| Full Name | DESTINY NICOLE BAUER |
| Credential | LPCA |
| Practice Address |
1503 Wayne Memorial Dr Goldsboro NC 27534-2203 |
| Mailing Address |
222 N Marion Dr Goldsboro NC 27534-7613 |
| Practice Telephone | 9195870001 |
| Practice Fax Number | 9195870007 |
| Mailing Telephone | 9195817720 |
| Mailing Fax Number | 9195870007 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A122778 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1503 WAYNE MEMORIAL DR |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154335511 | Ralph Roger Berg Jr. | Psychiatry & Neurology | 1503 Wayne Memorial Dr, Suite H, Goldsboro, NC 27534-2203 | 2006-07-28 |
| 1780810432 | Clientfirst of Nc, LLC | Community/Behavioral Health | 1503 Wayne Memorial Dr, Suite H, Goldsboro, NC 27534-2203 | 2009-06-09 |
| 1881834653 | Easter Seals Ucp North Carolina& Virginia, Inc | Case Management | 1503 Wayne Memorial Dr, Unit E, Goldsboro, NC 27534-2203 | 2009-03-06 |
| 1073751327 | Donald E Brown Jr. | Psychiatry & Neurology | 1503 Wayne Memorial Dr, Suite H, Goldsboro, NC 27534-2203 | 2009-01-25 |
| 1760515688 | Amy D Drozda | Social Worker | 1503 Wayne Memorial Dr, Suite E, Goldsboro, NC 27534-2203 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558174 | Angela Denise Wilson Gardner | Counselor | 218 Windsor Creek Pkwy Apt A, Goldsboro, NC 27534-8695 | 2020-08-13 |
| 1881089126 | Healthcore Resource, Inc | Counselor | 106 W. Ash Street, Goldsboro, NC 27530-3615 | 2015-04-03 |
| 1770837429 | Debra H Barfield | Counselor | 1299-g Parkway Dr, Goldsboro, NC 27534-3491 | 2012-11-02 |
| 1932665692 | Chasity Phillips Counseling, Pllc | Counselor | 696 N Spence Ave Ste C, Goldsboro, NC 27534-4354 | 2019-02-18 |
| 1689935264 | Living Waters Counseling, Pllc | Counselor | 1700 E Ash St, Suite 303, Goldsboro, NC 27530-4097 | 2012-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215347 | Jean Moree | Counselor | 569 Presnell School Rd, Banner Elk, NC 28604-8306 | 2020-11-03 |
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| 1619576352 | Bianca Faith Monroe | Counselor | 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 | 2020-10-23 |
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1841897667 | Latia Edwards Counseling Services | Counselor | 1224 Kirt Ct, Charlotte, NC 28213-5966 | 2020-10-05 |
| 1760089825 | Christine Lynn Jeffreys | Counselor | 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 | 2020-10-02 |
| 1164039863 | Kamini Wood | Counselor | 2670 Cedar Hedge Ct, Apex, NC 27523-7136 | 2020-09-26 |
| 1821604463 | Recovery Services of The Carolinas, LLC | Counselor | 10831 Pineville Rd Ste 8, Pineville, NC 28134-8137 | 2020-09-18 |
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
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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.