Active NPI
Kerrie Rouse, PHD, LMFT
- Marriage & Family Therapist
- Winston Salem, NC
National Provider Identifier
1215693296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204231
- Practice address
- 632 Holly Ave Ste 8
Winston Salem, NC 27101-2716 - Phone
- (512) 355-1091
- NPI assigned
- Nov 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 21126 | NC | |
| Marriage & Family Therapist | 106H00000X | 204231 | TX | Primary |
| Professional Counselor | 101YP2500X | LPC-6741 | ID | |
| Mental Health Counselor | 101YM0800X | TPMC2976 | FL | |
| Professional Counselor | 101YP2500X | 87503 | TX |
Addresses
Primary practice location
632 Holly Ave Ste 8
Winston Salem, NC 27101-2716
Mailing address
632 Holly Ave Ste 8
Winston Salem, NC 27101-2716
Phone (512) 355-1091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPMC2976 | FL | MD | Mental Health Counselor |
| LPC-6741 | ID | MD | Professional Counselor |
| 87503 | TX | MD | Professional Counselor |
| 21126 | NC | MD | Marriage & Family Therapist |
| 204231 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Wellness and Psychotherapy, PLLC | Mental Health | Current | Accepting new patients |
| Full Circle Wellness and Psychotherapy, PLLC | Current | Accepting new patients |
Locations
632 Holly Ave
Ste 8
Winston Salem, NC 27101
Phone (512) 355-1091
601 Quail Valley Dr
#327
Georgetown, TX 78626
Phone (541) 727-8542
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Winston Salem, NC
- NPI 1881569697
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Georgetown, TX
- NPI 1538806872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1215693296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 HOLLY AVE STE 8",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012716",
"telephone_number": "512-355-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 HOLLY AVE STE 8",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271012716",
"telephone_number": "512-355-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "KERRIE",
"credential": "PHD, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-13",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "21126",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204231",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-6741",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "TPMC2976",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "87503",
"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 May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.