Individual provider Active NPI

Anna Kathleen Fleig

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1326526732
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14114 Issued in NC
Practice address
983 Mar Don Dr
Winston Salem, NC 27104-4624
Phone
(336) 923-7426
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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 A14114 NC
Mental Health Counselor 101YM0800X 14114 NC Primary

Addresses

Primary practice location

983 Mar Don Dr
Winston Salem, NC 27104-4624

Mailing address

5015 Winster Dr Apt 101
Winston Salem, NC 27106-2966
Phone (704) 351-7692

Other identifiers 2

IdentifierTypeStateIssuer
14114OtherNCNORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS
A14114OtherNCNORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS

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
14114NCMDMental Health Counselor
A14114NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1326526732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 WINSTER DR APT 101",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062966",
            "telephone_number": "704-351-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 MAR DON DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044624",
            "telephone_number": "336-923-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEIG",
        "first_name": "ANNA",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14114",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS",
            "identifier": "14114",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS",
            "identifier": "A14114",
            "state": "NC"
        }
    ],
    "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 Nov 4, 2021; 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.