Active NPI
Alexandra Daniels, MA, LCMHCA
- Mental Health Counselor
- Goldsboro, NC
National Provider Identifier
1487395299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A17424
- Practice address
- 402 E Raintree LN
Goldsboro, NC 27534-8261 - Phone
- (919) 429-9828
- NPI assigned
- Apr 5, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A17424 | NC | |
| Professional Counselor | 101YP2500X | A17424 | NC | |
| Community/Behavioral Health Agency | 251S00000X | A17424 | NC | |
| Mental Health Counselor | 101YM0800X | A17424 | NC | Primary |
Addresses
Primary practice location
402 E Raintree LN
Goldsboro, NC 27534-8261
Mailing address
PSC 812 Box 813
Fpo, AE 09627-0009
Phone (801) 510-7703
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 |
|---|---|---|---|
| A17424 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montelongo Mental Health PLLC | Community/Behavioral Health | Past | Accepting new patients |
| Family Works Psychological Center, PLLC | Counselor | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Wilmington, NC
- NPI 1063488773
Counselor
-
- Mental Health Counselor
- Greenville, NC
- NPI 1982327599
Community/Behavioral Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1487395299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 812 BOX 813",
"city": "FPO",
"state": "AE",
"postal_code": "096270009",
"telephone_number": "801-510-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 E RAINTREE LN",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275348261",
"telephone_number": "919-429-9828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "ALEXANDRA",
"credential": "MA, LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A17424",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A17424",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "A17424",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A17424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.