Active NPI
Wendy Twitty Clemons, LCMHC-A
- Mental Health Counselor
- Greenville, NC
National Provider Identifier
1194604785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A21777
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| A21777 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yotaron Enrichment Resource Center | Current | 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.
-
- Counselor
- Greenville, NC
- NPI 1376945816
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.