DANIELLE MCCORD MICKELONIS LCMHC, LCAS
NPI 1265069363
Counselor - Professional in Wilmington, NC

Q: What is Danielle Mickelonis's NPI number?

The NPI number for Danielle Mickelonis is 1265069363. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Danielle Mickelonis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 343-0145(910) 341-5779 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2022, Apr 20, 2020, Mar 26, 2020 (3 updates tracked since 2020).

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About Danielle Mccord Mickelonis Lcmhc, Lcas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELLE MCCORD MICKELONIS LCMHC, LCAS (NPI 1265069363) is an individual professional provider in Wilmington, North Carolina, licensed in North Carolina (A15675) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265069363

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDANIELLE MCCORD MICKELONISCredential: LCMHC, LCAS

Location Address615 SHIPYARD BLVDWilmington, NC 28412-6431

Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145 · Fax (910) 341-5779

Phone(910) 343-0145

Fax(910) 341-5779

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 26, 2020

Last NPPES UpdateAugust 30, 20223 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1265069363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in NC · A15675✔ Licensed in NC · 15675

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-26121 (NC)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A15675 (NC), 15675 (NC)

615 SHIPYARD BLVD, Wilmington, NC 28412

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Danielle Mccord Mickelonis Lcmhc, Lcas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789125675

PECOS Enrollment IDI20240918004376

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL HORIZONS CENTER, INC.

Psychologist (Prescribing (Medical))