Active NPI
Nicole Bauer Counseling PLLC
- Mental Health Counselor
- Goldsboro, NC
National Provider Identifier
1538628490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- NICOLE BAUER COUNSELING PLLC
- Practice address
- 1500 E Ash St
Goldsboro, NC 27530-5204 - Phone
- (919) 617-7478
- NPI assigned
- Mar 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Destiny Nicole Bauer, LPC
- Title
- Licensed Professional Counselor
- Phone
- (919) 763-5258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1500 E Ash St
Goldsboro, NC 27530-5204
Mailing address
1500 E Ash St
Goldsboro, NC 27530-5204
Phone (919) 617-7478
National Provider Directory
National Provider DirectoryLocations
1500 E Ash St
Goldsboro, NC 27530
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Goldsboro, NC
- NPI 1932693876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1538628490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275305204",
"telephone_number": "919-617-7478"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE BAUER COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-19",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "BAUER",
"authorized_official_first_name": "DESTINY",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "919-763-5258",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.