Donaiel Antuinette Allen, LCMHC-A, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A-16572 Issued in NC

Practice address

1260 College Ave Ste 1
Wilkesboro, NC 28697-2700

Phone

(336) 818-0733

Fax

(336) 818-0734

NPI assigned

Jun 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jodi Province Counseling Services PLLCGroup PAC ID 3678726569, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: donaiel.allen@direct.jpcs.nchie.net

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.

• Jodi Province Counseling Services PLLC

  • Mental Health Counselor
  • Wilkesboro, NC
  • NPI 1194050435
  Medicare reassignment Care Compare group NPD
• Latter Rain Counseling & Therapeutic Services PLLC

  • Mental Health Counselor
  • Lenoir, NC
  • NPI 1205646395
  NPD Authorized official

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1801466628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 INDIAN HILLS DR",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286459552",
            "telephone_number": "828-726-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 COLLEGE AVE STE 1",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972700",
            "telephone_number": "336-818-0733",
            "fax_number": "336-818-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DONAIEL",
        "middle_name": "ANTUINETTE",
        "credential": "LCMHC-A, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A-16572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accurim Health Care LLC
• Brian Matthew Adams, OTR/L
• Afterglow Holistic and Primary Care PLLC
• Carla S Alexander, LCSW-P
• Glen Ernest Alford, M.D.
• Alpha Omega Health, Inc
• Michael John Andreski I, DDS
• Appalachian Counseling
• Donna Hayes Atwell, PT
• Avante at Wilkesboro, Inc.

• Mental Health Counselor in Wilkesboro, NC
• Providers in Wilkesboro, 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 Jun 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.