Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Danielle McCord Mickelonis, LCMHC, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265069363

Danielle McCord Mickelonis, LCMHC, LCAS is a Mental Health Counselor in Wilmington, North Carolina. Qualified in 2019, 7 years ago. Practices with Coastal Horizons Center, Inc, a 50-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
Specialties on file
5
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Practice location Address checks out

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone: (910) 343-0145
Fax: (910) 341-5779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A15675 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-26121 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A15675 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 15675 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 15675 (NC)

Record details

NPI number1265069363
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , LCAS
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Coastal Horizons Center, Inc. — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington