Destiny Nicole Bauer, LCMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

12778 Issued in NC

Practice address

1500 E Ash St
Goldsboro, NC 27530-5204

Phone

(919) 617-7478

Fax

(919) 438-0343

NPI assigned

Feb 7, 2017

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Easter Seals Ucp North Carolina & Virginia, Inc.

  • Community/Behavioral Health Agency
  • Clinton, NC
  • NPI 1841352101
  NPD (past)

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1396283669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N MARION DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347613",
            "telephone_number": "919-763-5258",
            "fax_number": "919-438-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275305204",
            "telephone_number": "919-617-7478",
            "fax_number": "919-438-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "DESTINY",
        "middle_name": "NICOLE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "12778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Batten Bryan, DDS
• Carolyn Danielle Battle, FNP-BC
• Madison Brianna Batts
• Malisha Batts, CDAC
• Melanie Batts, LCAS-A
• Gregory Scott Bauer, M.D.
• Amy P. Baumgartner, OT
• Marvin Baxter, PHYSICIAN ASSISTANT
• Richard Joseph Bazik, CRNA
• Melanie Beacon, LPN

• Counselor in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.