Individual provider Active NPI

Wendy Twitty Clemons, LCMHC-A

  • Mental Health Counselor
  • Greenville, NC
National Provider Identifier
1194604785
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A21777 Issued in NC
Practice address
3106 S Memorial Dr Ste B
Greenville, NC 27834-6765
Phone
(252) 916-6048
Fax
(252) 371-1655
NPI assigned
Aug 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A21777 NC Primary

Addresses

Primary practice location

3106 S Memorial Dr Ste B
Greenville, NC 27834-6765

Mailing address

PO Box 31062
Greenville, NC 27833-1062
Phone (252) 916-6048

Other practice location 1

204 N Main St
Tarboro, NC 27886-5008
Phone (252) 916-6048

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
A21777NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yotaron Enrichment Resource Center CurrentSince Sep 3, 2025 Accepting new patients

Locations

3106 S Memorial Dr
Ste B
Greenville, NC 27834
Phone (252) 916-6048

204 N Main St
Tarboro, NC 27886
Phone (252) 916-6048

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": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1194604785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31062",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278331062",
            "telephone_number": "252-916-6048",
            "fax_number": "252-371-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 S MEMORIAL DR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346765",
            "telephone_number": "252-916-6048",
            "fax_number": "252-371-1655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 N Main St",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278865008",
            "country_code": "US",
            "telephone_number": "252-916-6048",
            "fax_number": "252-371-1655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "WENDY",
        "middle_name": "TWITTY",
        "credential": "LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.