Sation Konchellah

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A11840 Issued in NC

Practice address

3709 W Market St
Greensboro, NC 27403-4432

Phone

(336) 494-5743

Fax

(866) 278-9217

NPI assigned

Mar 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Grace Counseling and Wellness

  dba Grace Counseling and Wellness, PLLC

  • Professional Counselor
  • Greensboro, NC
  • NPI 1376068528
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1144613043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "SEDALIA",
            "state": "NC",
            "postal_code": "273420122",
            "telephone_number": "336-494-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034432",
            "telephone_number": "336-494-5743",
            "fax_number": "866-278-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONCHELLAH",
        "first_name": "SATION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11840",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NC",
            "license": "1068603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franck Romual Kombou Sile
• Saidivya Komma, OD
• Srinavya Komma, OD
• Kommineni DDS and Associates PLLC
• Barbara Goldman Komstead, PA-C
• Taylor Paige Kontoulas
• Kathryn Lorraine Kooistra, CNM
• Julius B Koomson
• Tammy Koonce, RN
• Patricia Keaton Koontz, RN

• Professional Counselor in Greensboro, NC
• Providers in Greensboro, 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 Dec 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.