NPIMap

Organization Active NPI

Open Doors Counseling & Wellness Inc

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1326278201
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-034-265 Issued in NC
Legal business name
OPEN DOORS COUNSELING & WELLNESS INC
Practice address
2720 Georgetown Dr
Winston Salem, NC 27106-5473
Phone
(336) 896-9771
Fax
(336) 464-2071
NPI assigned
Jul 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Mrs. Latrina D Winford, LPC
Title
Member
Phone
(336) 577-6652

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 458 NC
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 6715 NC
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 9400266 NC
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X MHL-034-265 NC Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X 001001278 NC

Addresses

Primary practice location

2720 Georgetown Dr
Winston Salem, NC 27106-5473

Mailing address

2720 Georgetown Dr
Winston Salem, NC 27106-5473
Phone (336) 896-9771

Other identifiers 4

IdentifierTypeStateIssuer
5917320MedicaidNC
7212654MedicaidNC
8302967MedicaidNC
6006903MedicaidNC

Other names 1

  • Winford Brown-Ramseur & Associates Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Essential Life Connections5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4680 Brownsboro Rd
Ste D201
Winston Salem, NC 27106
Phone (336) 896-9771

NPI Registry JSON

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1326278201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 GEORGETOWN DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065473",
            "telephone_number": "336-896-9771",
            "fax_number": "336-464-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 GEORGETOWN DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065473",
            "telephone_number": "336-896-9771",
            "fax_number": "336-464-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOORS COUNSELING & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-25",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "WINFORD",
        "authorized_official_first_name": "LATRINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "336-577-6652",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "458",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6715",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9400266",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-034-265",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001001278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917320",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212654",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302967",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006903",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winford Brown-Ramseur & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 4, 2015; 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.