Jennifer Anne Witkowski, LCHMC, MA/QP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8630 Issued in NC

Practice address

165 Orr Farm Rd
Currie, NC 28435-5553

Phone

(910) 679-6504

NPI assigned

Jun 20, 2011

Last updated

Jul 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Black River Health Services Inc

  dba Black River Health Center

  • Federally Qualified Health Center (FQHC)
  • Atkinson, NC
  • NPI 1174511976
  Medicare reassignment NPD
• Black River Health Services Inc

  dba Black River Family Practice

  • Federally Qualified Health Center (FQHC)
  • Burgaw, NC
  • NPI 1093703886
  NPD
• Black River Health Services Inc

  dba Atkinson Drug

  • Community/Retail Pharmacy
  • Atkinson, NC
  • NPI 1215488317
  NPD
• Wilmington Mental Wellness, P.C.

  • Professional Counselor
  • Currie, NC
  • NPI 1215682463

  Mental Health

  NPD
• Keys to Health and Wellness

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1164090866
  NPD
• Black River Health Services Inc

  dba Maple Hill Medical Center

  • Federally Qualified Health Center (FQHC)
  • Maple Hill, NC
  • NPI 1356339154
  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1083909972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 ORR FARM RD",
            "city": "CURRIE",
            "state": "NC",
            "postal_code": "284355553",
            "telephone_number": "847-204-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ORR FARM RD",
            "city": "CURRIE",
            "state": "NC",
            "postal_code": "284355553",
            "telephone_number": "910-679-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITKOWSKI",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "LCHMC, MA/QP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8630",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Carter, LMBT
• Alexandra Gorsky
• Wilmington Mental Wellness, P.C.

• Professional Counselor in Currie, NC
• Providers in Currie, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.