Individual provider Active NPI

Donald S. Greene, LPC

  • Professional Counselor
  • Gastonia, NC
National Provider Identifier
1326407404
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10842 Issued in NC
Practice address
1867 Remount Rd Ste H
Gastonia, NC 28054
Phone
(704) 865-3848
Fax
(704) 854-3086
NPI assigned
Feb 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10842 NC Primary

Addresses

Primary practice location

1867 Remount Rd Ste H
Gastonia, NC 28054

Mailing address

1867 Remount Rd Ste H
Gastonia, NC 28054-7401
Phone (704) 865-3848

Other practice location 1

3050 11th Avenue Dr SE
Hickory, NC 28602-8336
Phone (828) 695-6500

Other identifiers 1

IdentifierTypeStateIssuer
10842MedicaidNC

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
I20240531002335 NC Practitioner - Mental Health Counselor 8426490780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Apr 23, 2024 Accepting new patients
Caromont Medical Group Inc CurrentSince Apr 23, 2024 Accepting new patients

Locations

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1867 Remount Rd
Ste H
Gastonia, NC 28054
Phone (704) 671-7370

936 Cox Rd
Gastonia, NC 28054
Phone (704) 671-5343

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1326407404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 REMOUNT RD STE H",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547401",
            "telephone_number": "704-865-3848",
            "fax_number": "704-854-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 REMOUNT RD STE H",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "704-865-3848",
            "fax_number": "704-854-3086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 11th Avenue Dr SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286028336",
            "country_code": "US",
            "telephone_number": "828-695-6500",
            "fax_number": "828-695-4729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DONALD",
        "middle_name": "S.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-17",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10842",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.