Individual provider Active NPI

Louise Mills-Dumonceaux, LCSW

  • Mental Health Counselor
  • Clayton, NC
National Provider Identifier
1023116639
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW-11796 Issued in AZ
Practice address
505 E Main St
Clayton, NC 27520-2621
Phone
(919) 585-4589
Fax
(919) 585-4589
NPI assigned
Sep 20, 2006
Last updated
Jul 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW-11796 AZ Primary

Addresses

Primary practice location

505 E Main St
Clayton, NC 27520-2621

Mailing address

61 Shelton CT
Clayton, NC 27527-4233
Phone (919) 830-5492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080324000207 NC Practitioner - Clinical Social Worker 0042396624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-11796AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Solutions: Therapy and Consulting Services, PLLC CurrentSince May 23, 2024 Accepting new patients
Child & Family Counseling Services PLLC CurrentSince Aug 1, 2015 Accepting new patients

Locations

505 E Main St
Clayton, NC 27520
Phone (919) 375-0740

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1023116639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SHELTON CT",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274233",
            "telephone_number": "919-830-5492",
            "fax_number": "919-585-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E MAIN ST",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202621",
            "telephone_number": "919-585-4589",
            "fax_number": "919-585-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS-DUMONCEAUX",
        "first_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW-11796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.