Active NPI
Debra Donese Hancock, LCMHC
- Mental Health Counselor
- Davidson, NC
National Provider Identifier
1386389484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17475
- Practice address
- 120 S Village LN Ste D
Davidson, NC 28036-8159 - Phone
- (704) 727-2841
- NPI assigned
- May 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 17475 | NC | Primary |
Addresses
Primary practice location
120 S Village LN Ste D
Davidson, NC 28036-8159
Mailing address
18616 Nantz Rd
Cornelius, NC 28031-8618
Phone (704) 727-2841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A17475 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1386389484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18616 NANTZ RD",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280318618",
"telephone_number": "704-727-2841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S VILLAGE LN STE D",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280368159",
"telephone_number": "704-727-2841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "DEBRA",
"middle_name": "DONESE",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-03",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "17475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davidson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.