Organization Active NPI

Carenet Inc

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1265321376
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CARENET INC
Doing business as
CareNet Inc
Practice address
650 Highland Ave Ste 120
Winston Salem, NC 27101-4367
Phone
(336) 716-0855
NPI assigned
Jul 2, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CARENET INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Robert Willis, LMFT
Title
Director
Phone
(336) 716-9034

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

650 Highland Ave Ste 120
Winston Salem, NC 27101-4367

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Other names 1

  • CareNet Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050207000511 NC Part B Supplier - Clinic/Group Practice 6406845262 Receives reassigned benefits from 54 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lumberton, NC; Marion, NC; Mount Airy, NC; North Wilkesboro, NC; Shallotte, NC; Wilmington, NC; Winston Salem, NC; Winterville, NC…

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Gary H Brown65 organizations share this tax ID, including this one
Part of
Gary H Brown

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1265321376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HIGHLAND AVE STE 120",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014367",
            "telephone_number": "336-716-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARENET INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARENET INC",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-716-9034",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareNet Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareNet Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.