Individual provider Active NPI

Stephens Whitehurst Cherry, MS, CRC, LCMHC

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1043883085
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16612 Issued in NC
Practice address
12305 Kendall Ridge CT
Durham, NC 27703-8541
Phone
(919) 537-9763
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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 16612 NC Primary

Addresses

Primary practice location

12305 Kendall Ridge CT
Durham, NC 27703-8541

Mailing address

12305 Kendall Ridge CT
Durham, NC 27703-8541
Phone (919) 537-9763

Other names 1

  • Stephens Taylor Whitehurst Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
16612NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobloom Counseling PLLC Mental Health Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1043883085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12305 KENDALL RIDGE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038541",
            "telephone_number": "919-537-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12305 KENDALL RIDGE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038541",
            "telephone_number": "919-537-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "STEPHENS",
        "middle_name": "WHITEHURST",
        "credential": "MS, CRC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHENS",
            "last_name": "WHITEHURST",
            "middle_name": "TAYLOR",
            "credential": "MS, CRC, LCMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.