Destiny Nicole Bauer, LCMHC in Goldsboro, NC - Medicare Counselor Provider

Destiny Nicole Bauer, LCMHC is a medicare enrolled "Counselor" provider in Goldsboro, North Carolina. Her current practice location is 1500 E Ash St, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 617-7478.

Destiny Nicole Bauer is licensed to practice in North Carolina (license number 12778) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396283669.

Contact Information

	Destiny Nicole Bauer, LCMHC
	1500 E Ash St, Goldsboro, NC 27530-5204
	(919) 617-7478
	(919) 438-0343

Map and Direction

Healthcare Provider's Profile

Full Name	Destiny Nicole Bauer
Gender	Female
Speciality	Counselor
Location	1500 E Ash St, Goldsboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396283669
Provider Enumeration Date: 02/07/2017
Last Update Date: 08/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1658713805
Enrollment ID: I20240520003850

Medical Identifiers

Medical identifiers for Destiny Nicole Bauer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396283669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	12778 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Destiny Nicole Bauer allows following entities to bill medicare on her behalf.

Entity Name	Nicole Bauer Counseling Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538628490 PECOS PAC ID: 9830531086 Enrollment ID: O20240520003821

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Destiny Nicole Bauer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Destiny Nicole Bauer, LCMHC 222 N Marion Dr, Goldsboro, NC 27534-7613 Ph: (919) 763-5258	Destiny Nicole Bauer, LCMHC 1500 E Ash St, Goldsboro, NC 27530-5204 Ph: (919) 617-7478

Reviews and Comments

Counselor in Goldsboro, NC

Beverly Charmaine Cates, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 Beech St, Goldsboro, NC 27530 Phone: 919-731-2119
Katrina C Williams, CADC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 E Ash St Ste 300, Goldsboro, NC 27530 Phone: 919-709-1692
Crystal Daye Price, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676
Mrs. Mary Anita Vannoske, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 Fax: 919-734-9050
Caleb Harding, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 111 S George St, Goldsboro, NC 27530 Phone: 984-444-0586
Courtney Allison Van Kleeck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1008 E Ash St, Goldsboro, NC 27530 Phone: 252-208-0027
Mr. Albert Bernard Barron, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 Cashwell Dr Ste 3, Goldsboro, NC 27534 Phone: 919-751-8989 Fax: 919-751-1616

Destiny Nicole Bauer, LCMHC - Medicare Counselor in Goldsboro, NC