Donald Dwane Wynne, LCMHCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S3106 Issued in NC

Practice address

356 Grovers Knob
Blowing Rock, NC 28605-9012

Phone

(919) 618-7120

NPI assigned

May 30, 2006

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Donald D. Wynne Professional name

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

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dwane Wynne LPC PA

  • Mental Health Counselor
  • Blowing Rock, NC
  • NPI 1659110567
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1043267412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 GROVERS KNOB",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286059012",
            "telephone_number": "919-618-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 GROVERS KNOB",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286059012",
            "telephone_number": "919-618-7120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 State Farm Rd Ste 507",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286075432",
            "country_code": "US",
            "telephone_number": "919-618-7120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNNE",
        "first_name": "DONALD",
        "middle_name": "DWANE",
        "name_prefix": "Mr.",
        "credential": "LCMHCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S3106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "WYNNE",
            "middle_name": "D.",
            "credential": "LCMHCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mental Health Counselor in Blowing Rock, NC
• Providers in Blowing Rock, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.