Individual provider Active NPI

Cristina Adina Scobercea

  • Professional Counselor
  • Jamestown, NC
National Provider Identifier
1033094446
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12001 Issued in NC
Practice address
5302 River Thicket CT
Jamestown, NC 27282-8937
Phone
(336) 471-8613
NPI assigned
Aug 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12001 NC Primary

Addresses

Primary practice location

5302 River Thicket CT
Jamestown, NC 27282-8937

Mailing address

5302 River Thicket CT
Jamestown, NC 27282-8937
Phone (336) 471-8613

Other practice location 1

6324 Fairview Rd Ste 460
Charlotte, NC 28210-3374
Phone (980) 302-8611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029000142 NC Practitioner - Mental Health Counselor 6305335522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179

PO Box
Charlotte, NC 28260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12001NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Aug 14, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 14, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients

Locations

1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171

6324 Fairview Rd
Ste 460
Charlotte, NC 28210
Phone (980) 302-8611

13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1033094446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 RIVER THICKET CT",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828937",
            "telephone_number": "336-471-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 RIVER THICKET CT",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828937",
            "telephone_number": "336-471-8613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6324 Fairview Rd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282103374",
            "country_code": "US",
            "telephone_number": "980-302-8611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOBERCEA",
        "first_name": "CRISTINA",
        "middle_name": "ADINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NC

Sources for this page

Verify at the official NPI Registry.