Individual provider Active NPI

Denotra Johnson Winston, LCMHC, LCASA

  • Professional Counselor
  • Fayetteville, NC
National Provider Identifier
1346767928
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A13147 Issued in NC
Practice address
910 Hope Mills Rd
Fayetteville, NC 28304-4243
Phone
(910) 827-6611
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X A13147 NC Primary

Addresses

Primary practice location

910 Hope Mills Rd
Fayetteville, NC 28304-4243

Mailing address

70 Crescent St
Lumberton, NC 28358-3414
Phone (910) 733-0524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627000940 NC Practitioner - Mental Health Counselor 7416319389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunflowers Wellness Therapeutic Services PLLCGroup PAC ID 6608238571, 2 clinicians

Practice addresses (Care Compare)

910 Hope Mills Rd
Fayetteville, NC 28304-4243
Phone (910) 759-5771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A13147NCMDProfessional Counselor
13147NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflowers Wellness Therapeutic Services PLLC Professional CurrentSince Aug 19, 2022 Accepting new patients

Locations

910 Hope Mills Rd
Fayetteville, NC 28304
Phone (910) 684-3595

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1346767928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CRESCENT ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583414",
            "telephone_number": "910-733-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044243",
            "telephone_number": "910-827-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "DENOTRA",
        "middle_name": "JOHNSON",
        "credential": "LCMHC, LCASA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.