Individual provider Active NPI

Jennifer Weyant, LCMHCA

  • Mental Health Counselor
  • Kernersville, NC
National Provider Identifier
1073228110
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A18497 Issued in NC
Practice address
1009 Branchwood Dr
Kernersville, NC 27284-2209
Phone
(336) 339-9932
NPI assigned
Jan 23, 2023
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 A18497 NC Primary

Addresses

Primary practice location

1009 Branchwood Dr
Kernersville, NC 27284-2209

Mailing address

1400 Battleground Ave Ste 209E
Greensboro, NC 27408-8028
Phone (336) 383-1665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251211002811 SC Practitioner - Mental Health Counselor 2668966177 Reassigns benefits to 1 organization
I20251218000246 NC Practitioner - Mental Health Counselor 2668966177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

110 Traders Cross
FL 1
Bluffton, SC 29909-4637
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A18497NCMDMental Health Counselor
11350SCMDPharmacist
18497NCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
Sondermind Provider Network LLC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
My Therapy Place, PLLC Multi-Specialty PastSince Jan 29, 2023 Accepting new patients

Locations

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

110 Traders Cross
Okatie, SC 29909
Phone (602) 675-0335

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1073228110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BATTLEGROUND AVE STE 209E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088028",
            "telephone_number": "336-383-1665",
            "fax_number": "336-822-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BRANCHWOOD DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842209",
            "telephone_number": "336-339-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYANT",
        "first_name": "JENNIFER",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.