Individual provider Active NPI

Malgorzata Stanchak, MS, NCC, LCMHCS

  • Professional Counselor
  • Elizabeth City, NC
National Provider Identifier
1295379899
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S13921 Issued in NC
Practice address
407 S Griffin St Ste J
Elizabeth City, NC 27909-4693
Phone
(252) 573-1189
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24145 NC
Professional Counselor 101YP2500X S13921 NC Primary

Addresses

Primary practice location

407 S Griffin St Ste J
Elizabeth City, NC 27909-4693

Mailing address

733 Ocean Hwy S
Hertford, NC 27944-1437
Phone (252) 573-1189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129001310 NC Practitioner - Mental Health Counselor 2961855754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
24145NCMDAddiction (Substance Use Disorder) Counselor
S13921NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC Professional CurrentSince Jan 18, 2024 Accepting new patients
Pride in North Carolina, LLC CurrentSince Jan 18, 2024 Accepting new patients
Healthy Mind Counseling PLLC Addiction (Substance Use Disorder) CurrentSince Dec 28, 2022 Accepting new patients
Deep Connections Counseling LLC Past Accepting new patients

Locations

407 S Griffin St
Ste J
Elizabeth City, NC 27909
Phone (252) 331-0322

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

2902 N Herritage St
#A
Kinston, NC 28501
Phone (252) 520-6740

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1295379899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 OCEAN HWY S",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279441437",
            "telephone_number": "252-573-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S GRIFFIN ST STE J",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094693",
            "telephone_number": "252-573-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCHAK",
        "first_name": "MALGORZATA",
        "credential": "MS, NCC, LCMHCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "24145",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S13921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.