Linda Faye Staten, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15637 Issued in NC

Practice address

530 N Main St
Walnut Cove, NC 27052-9247

Phone

(336) 310-6727

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Faith First Christian Counseling

  • Mental Health Counselor
  • Walnut Cove, NC
  • NPI 1285235382
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1306568647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529247",
            "telephone_number": "336-310-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529247",
            "telephone_number": "336-310-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATEN",
        "first_name": "LINDA",
        "middle_name": "FAYE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Lynn Shannon, P.T.
• Kaci Shelton
• Amanda Gail Page Smith, LCSWA
• Sarah B Smith, RN
• Eric Stackley, PHARM.D
• Leigh Beth Woodman Tippit, PHYSICAL THERAPIST
• Patricia Anne Townsend, LCSWA
• Robert F Turner III, PHARMD
• Walnut Cove Healthcare LLC
• Walnut Cove Pharmacy Inc

• Mental Health Counselor in Walnut Cove, NC
• Providers in Walnut Cove, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.