Donna Green
Individual provider Active NPI Professional Counselor · Angier, NC
NPI 1144935446 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1144935446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C05166 (NC)
- Practice address
- 1979 Guy Rd
Angier, NC 27501-7300 - Phone
- (919) 624-9929
- NPI assigned
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kildaire Counseling PLLC
Practice addresses (Care Compare)
400 Woodland CT
Cary, NC 27511-4537
Phone (919) 229-2019
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251020000581 | NC | Practitioner - Clinical Social Worker | 9830687110 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C05166 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kildaire Counseling PLLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C05166 | NC | Yes |
Addresses
Primary practice location
1979 Guy Rd
Angier, NC 27501-7300
Mailing address
1979 Guy Rd
Angier, NC 27501-7300
Phone (919) 624-9929
Other providers in Angier, NC
- Whitney Johnson Gilmore
- Golden Spine Chiropractic PLLC
- Boksoon Brenda Gong
- Scott Jason Gordon
- Julie Gray
- Tambryme Hamilton-Simmons
- Hart Integrated Wellness Services, PLLC
- Nancy Harte
- Harvardmed Family Practice, Inc
- Thomas David Hawley
All providers in Angier, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.