Mountain Ridge Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MOUNTAIN RIDGE COUNSELING PLLC

Practice address

6255 Towncenter Dr
Unit 1698
Clemmons, NC 27012

Phone

(336) 569-4340

NPI assigned

Oct 4, 2025

Last updated

Dec 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa CasstevensNPI 1043787690

Title

Owner/Provider/Authorized Rep

Phone

(336) 466-7268

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa H Casstevens, MS, LCMHC

  • Mental Health Counselor
  • Clemmons, NC
  • NPI 1043787690
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1073487708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "STATE ROAD",
            "state": "NC",
            "postal_code": "286760114",
            "telephone_number": "336-569-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 TOWNCENTER DR",
            "address_2": "UNIT 1698",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "27012",
            "telephone_number": "336-569-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RIDGE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "CASSTEVENS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/PROVIDER/AUTHORIZED REP",
        "authorized_official_telephone_number": "336-466-7268"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Dudley Morris, LCSW
• Melissa J Morrissette-Hurst, LCSWA
• Abigail Mosqueda, RBT
• Mahala Motzny, MS/EDS
• Mount Eagle Health Care - Clemmons, LLC
• Mt Physical Therapy, LLC (MT Physical Therapy)
• Multi-Therapeutic Services, Inc
• Multi-Therapeutic Services, Inc.
• Meghan Elizabeth Elaine Mutter
• Susan McLeod Myers, MED, LCMHC, NCC, RPT

• Mental Health Counselor in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.