Individual provider Active NPI

Carol Marie Zordano, LCMHC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1053564500
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7069 Issued in NC
Practice address
1319 Ashleybrook LN
Winston Salem, NC 27103-2918
Phone
(336) 283-7070
Fax
(336) 679-7866
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 7069 NC Primary

Addresses

Primary practice location

1319 Ashleybrook LN
Winston Salem, NC 27103-2918

Mailing address

PO Box 26342
Winston Salem, NC 27114-6342
Phone (704) 682-1139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 7, 2024 through Feb 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7069NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Westgate Counseling & Wellness CurrentSince Mar 21, 2021 Accepting new patients

Locations

1319 Ashleybrook Ln
Winston Salem, NC 27103
Phone (336) 283-7070

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1053564500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26342",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271146342",
            "telephone_number": "704-682-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 ASHLEYBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032918",
            "telephone_number": "336-283-7070",
            "fax_number": "336-679-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORDANO",
        "first_name": "CAROL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.