Active NPI
Deakle Family Counseling
- Mental Health Counselor
- Winston Salem, NC
National Provider Identifier
1255031670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DEAKLE FAMILY COUNSELING
- Practice address
- 3000 Bethesda PL Ste 103
Winston Salem, NC 27103-3323 - Phone
- (336) 469-1800
- NPI assigned
- Mar 6, 2023
- Last updated
- Mar 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Deakle, LCMHCA
- Title
- Counselor/Owner
- Phone
- (336) 469-1800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3000 Bethesda PL Ste 103
Winston Salem, NC 27103-3323
Mailing address
800 Lockland Ave
Winston Salem, NC 27103-3708
Phone (336) 469-1800
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Winston Salem, NC
- NPI 1649942186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678060800000",
"number": "1255031670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 LOCKLAND AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033708",
"telephone_number": "336-469-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 BETHESDA PL STE 103",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033323",
"telephone_number": "336-469-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEAKLE FAMILY COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-05",
"status": "A",
"authorized_official_last_name": "DEAKLE",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "COUNSELOR/OWNER",
"authorized_official_telephone_number": "336-469-1800",
"authorized_official_credential": "LCMHCA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"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 Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.