Individual provider Active NPI

Jorie Doster, LCMHCA

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1013636984
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A17748 Issued in NC
Practice address
1365 Westgate Center Dr Ste L1
Winston Salem, NC 27103-3106
Phone
(912) 399-6015
NPI assigned
Aug 24, 2022
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A17748 NC Primary

Addresses

Primary practice location

1365 Westgate Center Dr Ste L1
Winston Salem, NC 27103-3106

Mailing address

212 Lawndale Dr
Winston Salem, NC 27104-3030
Phone (912) 399-6015

Other practice location 1

2422 Reynolda Rd Ste 6
Winston Salem, NC 27106-4606
Phone (336) 794-6760

Other practice location 2

235 S Church St
Winston Salem, NC 27101-5305
Phone (336) 355-8084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A17748NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Camel City Counseling PLLC Mental Health PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1013636984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 LAWNDALE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043030",
            "telephone_number": "912-399-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE L1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106",
            "telephone_number": "912-399-6015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2422 Reynolda Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271064606",
            "country_code": "US",
            "telephone_number": "336-794-6760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 S Church St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271015305",
            "country_code": "US",
            "telephone_number": "336-355-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSTER",
        "first_name": "JORIE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.