Organization Active NPI

Nicole Bauer Counseling PLLC

  • Mental Health Counselor
  • Goldsboro, NC
National Provider Identifier
1538628490
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Aug 21, 2025

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.