Active NPI
Carenet, Inc.
- Mental Health Counselor
- Winston Salem, NC
National Provider Identifier
1043424013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CARENET, INC.
- Practice address
- 403 S Hawthorne Rd
Winston Salem, NC 27103-3784 - Phone
- (336) 716-0800
- Fax
- (336) 716-0822
- NPI assigned
- May 9, 2007
- Organization subpart
- Yes
- Parent organization
- CARENET, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert A Willis, LMFT
- Title
- President
- Phone
- (336) 716-0858
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
403 S Hawthorne Rd
Winston Salem, NC 27103-3784
Mailing address
PO Box 890703
Charlotte, NC 28289-0703
Phone (336) 716-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6005235 | Medicaid | NC |
Other names 1
- BAPTIST HOSPITAL CARENET COUNSELING CENTERS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050207000511 | NC | Part B Supplier - Clinic/Group Practice | 6406845262 |
Receives reassigned benefits from 54 practitioners 23 other NPIs on this enrollment Practice locations: Lumberton, NC; Marion, NC; Mount Airy, NC; North Wilkesboro, NC; Shallotte, NC; Wilmington, NC; Winston Salem, NC; Winterville, NC… |
Other NPIs on the same Medicare enrollment 23
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Baptist Hospit Al Carenet
Practitioners & affiliated clinicians
Practitioners 67
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- North Wilkesboro, NC
- NPI 1053926725
Mental Health, NC
-
- Professional Counselor
- Greenville, NC
- NPI 1497368096
Mental Health, NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1043424013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890703",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282890703",
"telephone_number": "336-716-0800",
"fax_number": "336-716-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 S HAWTHORNE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033784",
"telephone_number": "336-716-0800",
"fax_number": "336-716-0822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARENET, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CARENET, INC.",
"enumeration_date": "2007-05-09",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "336-716-0858",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6005235",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BAPTIST HOSPITAL CARENET COUNSELING CENTERS",
"code": "3",
"type": "Doing Business As"
}
]
}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 Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.