Active NPI
Daisy Marie Hines, LCMHCA
- Mental Health Counselor
- Winston Salem, NC
National Provider Identifier
1174340939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A20477
- Practice address
- 2229 Ever Chase CT
Winston Salem, NC 27103-6324 - Phone
- (804) 218-1147
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A20477 | NC | Primary |
Addresses
Primary practice location
2229 Ever Chase CT
Winston Salem, NC 27103-6324
Mailing address
2229 Ever Chase CT
Winston Salem, NC 27103-6324
Phone (804) 218-1147
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
| License | State | Type | Specialty |
|---|---|---|---|
| A20477 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1174340939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2229 EVER CHASE CT",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036324",
"telephone_number": "804-218-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2229 EVER CHASE CT",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036324",
"telephone_number": "804-218-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "DAISY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A20477",
"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 23, 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.