Carolina Counselors, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CAROLINA COUNSELORS, PLLC

Practice address

936 W 4TH St Ste 204
Winston Salem, NC 27101-2564

Phone

(336) 655-6955

NPI assigned

Jul 26, 2023

Last updated

Jul 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Prevatte, LCMHC, LCASNPI 1780075366

Title

Owner

Phone

(336) 655-6955

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Prevatte, LPCA

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1780075366
  NPD Authorized official

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1033890793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 W 4TH ST STE 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W 4TH ST STE 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012564",
            "telephone_number": "336-655-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COUNSELORS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "PREVATTE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-655-6955",
        "authorized_official_credential": "LCMHC, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Carmichael
• Carol E Moore MD PLLC
• Carolina Access Life Line, LLC
• Carolina Access Life Line, LLC
• Carolina Classic Senior Care, LLC
• Carolina Diagnostics, Inc.
• Carolina Eye Associates Inc (Carolina Eye Associates PA)
• Carolina Family Medicine and Dermatology
• Carolina IV Solutions, Inc
• Carolina Medicorp Enterprises Inc (Prime Care of North Point)

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.