Organization Active NPI

Branscomb Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winston Salem, NC
National Provider Identifier
1346017118
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRANSCOMB COUNSELING PLLC
Practice address
4555 Shattalon Dr
Winston Salem, NC 27106-2052
Phone
(336) 413-6717
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Joel BranscombNPI 1497528582
Title
Organizer
Phone
(336) 413-6717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4555 Shattalon Dr
Winston Salem, NC 27106-2052

Mailing address

5325 Fairburn Dr
Winston Salem, NC 27106-6312
Phone (336) 413-6717

National Provider Directory

National Provider Directory

Locations

4555 Shattalon Dr
Winston Salem, NC 27106
Phone (336) 413-6717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1346017118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 FAIRBURN DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271066312",
            "telephone_number": "336-413-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 SHATTALON DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062052",
            "telephone_number": "336-413-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANSCOMB COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "BRANSCOMB",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "336-413-6717"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Dec 11, 2023; 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.