Rashaad Jamaal Nelson, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19952 Issued in NC

Practice address

1922 S Martin Luther King Jr Dr Ste 225
Winston Salem, NC 27107-1361

Phone

(336) 464-3136

NPI assigned

May 13, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Knew Era Consulting PLLC

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1912446253

  Mental Health

  NPD

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1215786355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 S MARTIN LUTHER KING JR DR STE 225",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071361",
            "telephone_number": "336-464-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 S MARTIN LUTHER KING JR DR STE 225",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071361",
            "telephone_number": "336-464-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Lord Jeff Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274056300",
            "country_code": "US",
            "telephone_number": "252-259-4880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RASHAAD",
        "middle_name": "JAMAAL",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Phillips Nelson
• Kenneth E Nelson, MD
• Kimberly Simonne Nelson, LCMHC
• Lewis Henry Nelson III, MD
• Mark Harvey Nelson, MD
• Robert D Nelson, M.D.
• Rosemary Nelson, PH.D.
• Sally Anne Nelson, DNP, CRNA
• Stephen P. Nelson, CRNA
• Trisha Lynn Boyd Nelson, MSN, NNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.