Active NPI
Kelsey Domann-Scholz, LPCA, NCC, MA
- Mental Health Counselor
- Durham, NC
National Provider Identifier
1447604822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A12273
- Practice address
- 1426 Ida St Apt a
Durham, NC 27705-3330 - Phone
- (503) 407-1740
- NPI assigned
- Apr 21, 2016
- Sex
- Female
- Sole proprietor
- No
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 | A12273 | NC | Primary |
Addresses
Primary practice location
1426 Ida St Apt a
Durham, NC 27705-3330
Mailing address
1426 Ida St Apt a
Durham, NC 27705-3330
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12273 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juniper Counseling Collective | Mental Health | Current | Accepting new patients |
Locations
5741 NE Glisan St
Ste 2
Portland, OR 97213
Phone (503) 218-3631
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Portland, OR
- NPI 1841936002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1447604822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 IDA ST APT A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 IDA ST APT A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053330",
"telephone_number": "503-407-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMANN-SCHOLZ",
"first_name": "KELSEY",
"credential": "LPCA, NCC, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A12273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.