Richard McDonald, LCMHC, LCAS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14159 Issued in NC

Practice address

723 W Innes St
Salisbury, NC 28144-4149

Phone

(980) 330-7000

Fax

(704) 731-0908

NPI assigned

Feb 2, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolinas Depression Clinic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salisbury, NC
  • NPI 1992504773
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1679072805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1455",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280021455",
            "telephone_number": "704-438-2945",
            "fax_number": "704-731-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444149",
            "telephone_number": "980-330-7000",
            "fax_number": "704-731-0908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Arey Ave",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280015108",
            "country_code": "US",
            "telephone_number": "704-438-2945",
            "fax_number": "704-731-0908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LCMHC, LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-02",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23604",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joslin Domonique McCoy, CADC
• Sharesa McCray
• Danna Lynn McDaniel, RPH
• Katherine McDermott, PMHNP-BC
• Christine Elaine McDonald, RN
• Ryan Casey McDonough
• Melissa McDougal, OT
• Dayshae Simone McDuffie
• Emelie Christine McFarland, PSYD
• Jennifer Lynne McGrath, DPT

• Mental Health Counselor in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.