Dontae Antuan Donnell Sr., LPCA, LCASA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11737 Issued in NC

Practice address

1451 S Elm Eugene St # 3112
Greensboro, NC 27406-2200

Phone

(336) 844-5322

NPI assigned

Aug 19, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dontae Antuan Donnell I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mind Healing Therapeutic Services PLLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1174184311

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1326414731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 GRAY WOLF WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068260",
            "telephone_number": "336-405-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 S ELM EUGENE ST # 3112",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274062200",
            "telephone_number": "336-844-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELL",
        "first_name": "DONTAE",
        "middle_name": "ANTUAN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LPCA, LCASA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21953",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONTAE",
            "last_name": "DONNELL",
            "middle_name": "ANTUAN",
            "suffix": "I",
            "credential": "LPCA, LCASA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dominion Radiology LLC
• Donald J Digby MD PA
• Lareese Donaldson
• Natalie Meredith Donati Garmon, ACNPC-AG
• Donna'S Home Healthcare
• Michele Mickie Donnell
• Tarshia Donnell, CDAC CCMA
• Lynn Donnelly, MS,OTR/L
• Jessica Donoho
• Ashley Rose Donovan, PA

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.