Krista Renee Etchison, MA, LCMHCS, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S10790 Issued in NC

Practice address

1744 Heritage Center Dr Ste 201
Wake Forest, NC 27587-9853

Phone

(984) 235-7596

Fax

(984) 235-7054

NPI assigned

Jul 28, 2009

Last updated

Jan 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krista.etchison@direct.thecounselingcollective.nchie.net

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.

• The Counseling Collective, PLLC

  • Mental Health Counselor
  • Wake Forest, NC
  • NPI 1851863609
  NPD Authorized official
• Wake Forest Counseling Associates, PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1700021557
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1093946857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 HERITAGE CENTER DR STE 201",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879853",
            "telephone_number": "984-235-7596",
            "fax_number": "984-235-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 HERITAGE CENTER DR STE 201",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879853",
            "telephone_number": "984-235-7596",
            "fax_number": "984-235-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 Heritage Center Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275879849",
            "country_code": "US",
            "telephone_number": "984-235-7596",
            "fax_number": "984-235-7054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1752 Heritage Center Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275878790",
            "country_code": "US",
            "telephone_number": "984-235-7596",
            "fax_number": "984-235-7054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETCHISON",
        "first_name": "KRISTA",
        "middle_name": "RENEE",
        "credential": "MA, LCMHCS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005227",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S10790",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10790",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Wake Forest, NC
• Providers in Wake Forest, 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 Jan 15, 2026; 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.