Individual provider Active NPI

Maryanne E Doran

  • Mental Health Counselor
  • Goldsboro, NC
National Provider Identifier
1235811845
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A20820 Issued in NC
Practice address
1700 E Ash St Ste 201
Goldsboro, NC 27530-4097
Phone
(919) 583-9329
NPI assigned
Aug 3, 2023
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 29194 NC
Mental Health Counselor 101YM0800X A20820 NC Primary

Addresses

Primary practice location

1700 E Ash St Ste 201
Goldsboro, NC 27530-4097

Mailing address

1700 E Ash St
Goldsboro, NC 27530-4097

Other practice location 1

208 Malloy St Ste E
Goldsboro, NC 27534-4478
Phone (919) 778-5594

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
I20250314002860 NC Practitioner - Mental Health Counselor 0143742585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29194NCMDAddiction (Substance Use Disorder) Counselor
A20820NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Goldsboro CTC CurrentSince Aug 6, 2023 Accepting new patients
Goldsboro Counseling Center, P.a. CurrentSince Feb 1, 2025 Accepting new patients
Ats of North Carolina, LLC PastSince Aug 6, 2023 Accepting new patients

Locations

1700 E Ash St
Ste 201
Goldsboro, NC 27530
Phone (919) 583-9329

208 Malloy St
Ste E
Goldsboro, NC 27534
Phone (919) 778-5594

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1235811845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E ASH ST STE 201",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304097",
            "telephone_number": "919-583-9329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Malloy St Ste E",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275344478",
            "country_code": "US",
            "telephone_number": "919-778-5594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORAN",
        "first_name": "MARYANNE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "29194",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.