Christy Ladonna Douglas, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A14444 Issued in NC

Practice address

4030 Wake Forest Rd Ste 206
Raleigh, NC 27609-6800

Phone

(919) 713-0260

NPI assigned

Oct 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• C. Douglas Counseling and Coaching

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1326642729
  NPD Authorized official
• Kelly Harrison Counseling PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1568929503

  Professional

  NPD

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1295202539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 KILDAIRE FARM RD STE 135",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275182278",
            "telephone_number": "919-504-3004",
            "fax_number": "919-551-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD STE 206",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096800",
            "telephone_number": "919-713-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Executive Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128833",
            "country_code": "US",
            "telephone_number": "704-408-8489",
            "fax_number": "855-532-2779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CHRISTY",
        "middle_name": "LADONNA",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kevin Dougherty, MD
• Patrick Dougherty, DPM
• Sean Patrick Dougherty, LPC
• Aaliyah Douglas
• Caitlin Douglas, RDN
• Ellen Douglas, LPC
• Georleena Elsie Douglas, LCMHC
• Harding Everette Douglas Jr., DDS
• Margaret Rankin Douglas, M.D.
• Martin Rans Douglas, M.D.

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.