Organization Active NPI

Piedmont Therapy and Wellness, PLLC

  • Mental Health Counselor
  • Jamestown, NC
National Provider Identifier
1093538183
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PIEDMONT THERAPY AND WELLNESS, PLLC
Practice address
3307 Peninsula Dr
Jamestown, NC 27282-8718
Phone
(336) 745-7262
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Rahim Skinner, LMHCANPI 1457909608
Title
Executive Director
Phone
(336) 745-7262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3307 Peninsula Dr
Jamestown, NC 27282-8718

Mailing address

3307 Peninsula Dr
Jamestown, NC 27282-8718
Phone (336) 745-7262

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1093538183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 PENINSULA DR",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828718",
            "telephone_number": "336-745-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 PENINSULA DR",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272828718",
            "telephone_number": "336-745-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "RAHIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-745-7262",
        "authorized_official_credential": "LMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.