Individual provider Active NPI

Emily Krewson Watson, LCMHC, LCAS, NCC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1164069142
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14984 Issued in NC
Practice address
100 S Marshall St Ste 1
Winston Salem, NC 27101-2843
Phone
(336) 594-0400
Fax
(336) 276-1516
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 25296 NC
Professional Counselor 101YP2500X 14984 NC Primary

Addresses

Primary practice location

100 S Marshall St Ste 1
Winston Salem, NC 27101-2843

Mailing address

100 S Marshall St Ste 1
Winston Salem, NC 27101-2843
Phone (336) 594-0400

Other practice location 1

665 W 4th St
Winston Salem, NC 27101-2701
Phone (336) 725-8389 ext. 309

Other names 1

  • Emily Scott Krewson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14984NCMDPharmacist
25296NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1164069142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MARSHALL ST STE 1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012843",
            "telephone_number": "336-594-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MARSHALL ST STE 1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012843",
            "telephone_number": "336-594-0400",
            "fax_number": "336-276-1516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271012701",
            "country_code": "US",
            "telephone_number": "336-725-8389 x309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "EMILY",
        "middle_name": "KREWSON",
        "credential": "LCMHC, LCAS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "25296",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KREWSON",
            "middle_name": "SCOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.