Organization Active NPI

Connie Marshall Counseling, PLLC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1164335311
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CONNIE MARSHALL COUNSELING, PLLC
Practice address
936 W 4TH St Ste 205
Winston Salem, NC 27101-2564
Phone
(336) 766-3919
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Connie Marshall, LCMHC
Title
Owner / Managing Member
Phone
(336) 766-3919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

936 W 4TH St Ste 205
Winston Salem, NC 27101-2564

Mailing address

3521 Meadow Glen Dr
Clemmons, NC 27012-9393
Phone (336) 766-3919

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1164335311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 MEADOW GLEN DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129393",
            "telephone_number": "336-766-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W 4TH ST STE 205",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012564",
            "telephone_number": "336-766-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE MARSHALL COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "336-766-3919",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 28, 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.