Individual provider Active NPI

Tamara Knight Slater

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1174403349
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A21059 Issued in NC
Practice address
1400 Old Mill Cir Ste a
Winston Salem, NC 27103-2977
Phone
(336) 893-7742
NPI assigned
Sep 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A21059 NC Primary
School Counselor 101YS0200X 1284568 NC

Addresses

Primary practice location

1400 Old Mill Cir Ste a
Winston Salem, NC 27103-2977

Mailing address

5223 Ivy Ridge LN
Winston Salem, NC 27104-5913
Phone (334) 717-7829

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
A21059NCMDMental Health Counselor
1284568NCMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Give Grace Youth & Family Counseling, PLLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

1400 Old Mill Cir
Ste A
Winston Salem, NC 27103
Phone (336) 893-7742

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1174403349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 IVY RIDGE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045913",
            "telephone_number": "334-717-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD MILL CIR STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032977",
            "telephone_number": "336-893-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "TAMARA",
        "middle_name": "KNIGHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21059",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "1284568",
            "primary": false
        }
    ],
    "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 27, 2025; 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.