Individual provider Active NPI

Kirsten Lee Schoonmaker-Bryant, LPC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1306087754
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7039 Issued in NC
Practice address
2200 Silas Creek Pkwy
Suite 1-a
Winston Salem, NC 27103-5000
Phone
(336) 722-7300
Fax
(336) 722-7311
NPI assigned
Mar 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7039 NC Primary

Addresses

Primary practice location

2200 Silas Creek Pkwy
Suite 1-a
Winston Salem, NC 27103-5000

Mailing address

2200 Silas Creek Pkwy
Suite 1-a
Winston Salem, NC 27103-5000
Phone (336) 722-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7039NCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1306087754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SILAS CREEK PKWY",
            "address_2": "SUITE 1-A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035000",
            "telephone_number": "336-722-7300",
            "fax_number": "336-722-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SILAS CREEK PKWY",
            "address_2": "SUITE 1-A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035000",
            "telephone_number": "336-722-7300",
            "fax_number": "336-722-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONMAKER-BRYANT",
        "first_name": "KIRSTEN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7039",
            "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 Sep 28, 2010; 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.