Teressa Klein, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A15339 Issued in NC

Practice address

235 S Church St
Winston Salem, NC 27101-5305

Phone

(336) 355-8084

NPI assigned

Apr 13, 2017

Last updated

May 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Teressa Gugino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Camel City Counseling PLLC

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1245896679
  NPD

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1215461553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 BRADENTON DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035711",
            "telephone_number": "941-661-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S CHURCH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015305",
            "telephone_number": "336-355-8084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 S Cherry St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271015271",
            "country_code": "US",
            "telephone_number": "336-355-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "TERESSA",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESSA",
            "last_name": "GUGINO",
            "prefix": "MS.",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Crystal Kleean
• Alan D Klein, M.D.
• Ilan Binyamin Klein, MD
• Patricia Mills Klein, P.A.-C
• Steven Russell Klein, M.D.
• Shayna Leigh Kleinberg
• Colin Edward Kleinguetl, MD
• Allison Kate Kleinsmith, MD
• Heidi D Klepin, MD
• Zachary Peter Klick, PHARM.D.

• Professional Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.