Daryll Elizabeth Douglas, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010586 Issued in PA

Practice address

233 McNair Cir
Northampton, PA 18067-9196

Phone

(804) 439-5115

NPI assigned

Mar 14, 2015

Last updated

Mar 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Law

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Professional

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  Professional, VA

  Medicare reassignment NPD
• Glenn R. Koch & Associates, LLC

  • Counseling Psychologist
  • Allentown, PA
  • NPI 1093122699
  NPD (past)
• Balance Behavioral Health, PLLC

  • Clinical Psychologist
  • Midlothian, VA
  • NPI 1912338914

  Professional

  NPD (past)
• Ephratah Health Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Henrico, VA
  • NPI 1740057751
  NPD (past)

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1306239397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MCNAIR CIR",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180679196",
            "telephone_number": "804-439-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MCNAIR CIR",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180679196",
            "telephone_number": "804-439-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "DARYLL",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-14",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006032",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Raymond Deblass, RN
• Denine Ann Deily, PTA
• Anita Elizabeth Deutsch, R.PH.
• Diagnostic Medical Imaging Enterprises LTD
• Diagnostic Medical Imaging Enterprises, LTD
• Ngan Duong
• East Allen Chiropractic and Rehab,Inc
• East Allen Township Volunteer Ambulance Corps
• David A Edmonds, DPM
• Paul Raymund Evidente, PT

• Professional Counselor in Northampton, PA
• Providers in Northampton, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.