Individual provider Active NPI

Lindsey Yvette Donatien, LCMHC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1003318577
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13779 Issued in NC
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

Updated by the provider on Sep 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13779NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sparc Network Professional PastSince Sep 13, 2020 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

Verify at the official NPI Registry.