Individual provider Active NPI

Latrina Devonne Winford, LPCS

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1306036470
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6715 Issued in NC
Practice address
1922 S Martin Luther King Jr Dr Ste 15
Winston Salem, NC 27107-1371
Phone
(336) 577-6652
Fax
(336) 464-2071
NPI assigned
Jul 25, 2007
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6715 NC
Professional Counselor 101YP2500X 6715 NC Primary

Addresses

Primary practice location

1922 S Martin Luther King Jr Dr Ste 15
Winston Salem, NC 27107-1371

Mailing address

1922 S Martin Luther King Jr Dr Ste 15
Winston Salem, NC 27107-1371
Phone (336) 577-6652

Other identifiers 2

IdentifierTypeStateIssuer
PC1635MedicaidSC
6103689MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240408000343 NC Practitioner - Mental Health Counselor 1850474750 Reassigns benefits to 1 organization
I20241122000500 SC Practitioner - Mental Health Counselor 1850474750 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6322SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifechanges Family Guidance & Wellness Inc. Professional CurrentSince Jul 9, 2009 Accepting new patients

Locations

1922 S Martin Luther King Jr Dr
#25
Winston Salem, NC 27107
Phone (336) 577-6652

1922 S Martin Luther King Jr Dr
#74
Winston Salem, NC 27107

1922 S Martin Luther King Jr Dr
Ste 15
Winston Salem, NC 27107
Phone (336) 464-3122

1922 S Martin Luther King Jr Dr
Ste 25
Winston Salem, NC 27107

1922 S Martin Luther King Jr Dr
Ste 74
Winston Salem, NC 27107
Phone (336) 464-3122

3937 Sunset Blvd
Ste A
West Columbia, SC 29169
Phone (803) 399-8683

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1306036470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 S MARTIN LUTHER KING JR DR STE 15",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071371",
            "telephone_number": "336-577-6652",
            "fax_number": "888-320-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 S MARTIN LUTHER KING JR DR STE 15",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071371",
            "telephone_number": "336-577-6652",
            "fax_number": "336-464-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFORD",
        "first_name": "LATRINA",
        "middle_name": "DEVONNE",
        "credential": "LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6715",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1635",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103689",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.