Individual provider Active NPI

Lina M Rios, LCMHC

  • Mental Health Counselor
  • Goldsboro, NC
National Provider Identifier
1457081499
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17662 Issued in NC
Practice address
208 Malloy St Ste B
Goldsboro, NC 27534-4478
Phone
(984) 520-6080
Fax
(984) 520-6081
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pride in North Carolina LLC 34 clinicians

Practice addresses (Care Compare)

208 Malloy St
Suite B
Goldsboro, NC 27534-4478
Phone (910) 452-1460

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
I20250919000079 NC Practitioner - Mental Health Counselor 6901300219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-28124NCMDAddiction (Substance Use Disorder) Counselor
17662NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC Mental Health CurrentSince Aug 11, 2025 Accepting new patients
Pride in North Carolina, LLC Mental Health CurrentSince Aug 11, 2025 Accepting new patients

Locations

208 Malloy St
Ste B
Goldsboro, NC 27534
Phone (984) 520-6080

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

2416 Bedgood Dr SW
Wilson, NC 27893
Phone (252) 265-9200

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 17662 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-28124 NC

Addresses

NPPES NPI Registry

Primary practice location

208 Malloy St Ste B
Goldsboro, NC 27534-4478

Mailing address

208 Malloy St Ste B
Goldsboro, NC 27534-4478
Phone (984) 520-6080

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2025.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1457081499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 MALLOY ST STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344478",
            "telephone_number": "984-520-6080",
            "fax_number": "984-520-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MALLOY ST STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344478",
            "telephone_number": "984-520-6080",
            "fax_number": "984-520-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "LINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17662",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-28124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.