Individual provider Active NPI

Angela Denise Jordan-Barnes, LCMHC

  • Mental Health Counselor
  • Goldsboro, NC
National Provider Identifier
1427719962
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17089 Issued in NC
Practice address
1503 Wayne Memorial Dr Ste E
Goldsboro, NC 27534-2203
Phone
(919) 587-0001
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17089 NC Primary

Addresses

Primary practice location

1503 Wayne Memorial Dr Ste E
Goldsboro, NC 27534-2203

Mailing address

1503 Wayne Memorial Dr Ste E
Goldsboro, NC 27534-2203
Phone (919) 587-0001

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
I20260226000677 NC Practitioner - Mental Health Counselor 1153802202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4535 Aaron LN
Elm City, NC 27822-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17089NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Jan 24, 2026 Accepting new patients
Covenant Counseling PLLC CurrentSince Jan 21, 2024 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Jan 24, 2026 Accepting new patients

Locations

208 McKoy St
Clinton, NC 28328
Phone (910) 596-2221

1503 Wayne Memorial Dr
Ste E
Goldsboro, NC 27534
Phone (919) 587-0001

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

Organizations & group practices 4

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": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1427719962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 WAYNE MEMORIAL DR STE E",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342203",
            "telephone_number": "919-587-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 WAYNE MEMORIAL DR STE E",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342203",
            "telephone_number": "919-587-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN-BARNES",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.