Active NPI
Lindsey Yvette Donatien, LCMHC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1003318577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13779
- Practice address
- 5200 Park Rd Ste 218B
Charlotte, NC 28209-3650 - Phone
- (866) 700-1606
- Fax
- (866) 338-5921
- NPI assigned
- Mar 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13779 | NC | Primary |
Addresses
Primary practice location
5200 Park Rd Ste 218B
Charlotte, NC 28209-3650
Mailing address
5200 Park Rd Ste 218B
Charlotte, NC 28209-3650
Phone (866) 700-1606
Other practice location 1
620 Central Dr NW
Concord, NC 28027
Phone (336) 582-8607
Other practice location 2
284 Executive Park Dr
Concord, NC 28025-1831
Phone (704) 939-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13779 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparc Network | Professional | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599955200000",
"number": "1003318577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 PARK RD STE 218B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093650",
"telephone_number": "866-700-1606",
"fax_number": "866-338-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 PARK RD STE 218B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093650",
"telephone_number": "866-700-1606",
"fax_number": "866-338-5921"
}
],
"practiceLocations": [
{
"address_1": "620 Central Dr NW",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "28027",
"country_code": "US",
"telephone_number": "336-582-8607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "284 Executive Park Dr",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280251831",
"country_code": "US",
"telephone_number": "704-939-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONATIEN",
"first_name": "LINDSEY",
"middle_name": "YVETTE",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2020-09-13",
"certification_date": "2020-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "13779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.