Organization Active NPI

Sanctuary Counseling & Wellness

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1033976915
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SANCTUARY COUNSELING & WELLNESS
Practice address
433 W End Blvd
Winston Salem, NC 27101-1120
Phone
(336) 399-3897
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Tanya Edmunds Gunter, LMHC, CHTPNPI 1326179318
Title
Clinical Director
Phone
(336) 399-3897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

433 W End Blvd
Winston Salem, NC 27101-1120

Mailing address

433 W End Blvd
Winston Salem, NC 27101-1120
Phone (336) 399-3897

National Provider Directory

National Provider Directory

Locations

433 W End Blvd
Winston Salem, NC 27101
Phone (336) 399-3897

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1033976915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W END BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011120",
            "telephone_number": "336-399-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W END BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011120",
            "telephone_number": "336-399-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "EDMUNDS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "336-399-3897",
        "authorized_official_credential": "LMHC, CHTP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Mar 6, 2024; 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.