DANIELLE MCCORD MICKELONIS LCMHC LCAS NPI 1265069363

NPI Information

  • NPI: 1265069363
  • Provider Name: DANIELLE MCCORD MICKELONIS, LCMHC, LCAS
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 615 SHIPYARD BLVD
    WILMINGTON, NC
    ZIP 28412
  • Phone: (910) 343-0145

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NPI Details

Danielle Mccord Mickelonis, LCMHC, LCAS is a professional counselor in Wilmington, NC with 7 years of experience. Danielle Mccord Mickelonis, LCMHC, LCAS NPI is 1265069363. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

615 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412-431
Phone: (910) 343-0145
Fax: (910) 341-5779

The NPI 1265069363 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/26/2020 and was last updated on 8/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-26121NORTH CAROLINANo
2101YM0800XCounselorMental HealthA15675NORTH CAROLINANo
3101YM0800XCounselorMental Health15675NORTH CAROLINANo
4101YP2500XCounselorProfessional15675NORTH CAROLINANo
5101YP2500XCounselorProfessionalA15675NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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