Olivia Danilko

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17289 Issued in NC

Practice address

1365 Westgate Center Dr Ste L1
Winston Salem, NC 27103-3106

Phone

(336) 448-4451

NPI assigned

Apr 5, 2022

Last updated

May 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Coast Rehab Partners, PLLC

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1356915797
  NPD
• Family Ties of Brunswick, LLC

  dba Family Ties Mental Health and Substance Abuse Counseling Services

  • Professional Counselor
  • Wilmington, NC
  • NPI 1831682665

  Mental Health

  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1780325662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 WATERCRAFT FERRY AVE UNIT 208",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE L1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106",
            "telephone_number": "336-448-4451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Front St Ste 704",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284015090",
            "country_code": "US",
            "telephone_number": "910-769-9126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANILKO",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID",
            "identifier": "208572352",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://familytiesmhcs.com/",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "201 N Front St Ste 704",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284015090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dallan H. Daniels, CRNA
• Jessica Leigh Daniels, NP
• Lynne Baheyeah Daniels, PA-C
• Samantha Daniels
• Gillian Marie Danielson
• Channen Marie Dankle, NP-C
• Karen June Dankof, MS., CCC-SLP
• Thomas Edward Dannals, MD
• Cynthia B Danner, LCSW
• Jennifer Nichole Darago, PHARMD

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, 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 May 30, 2023; 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.