Individual provider Active NPI

Amy Bond Craver, M.S., LPCA, NCC

  • Counselor
  • Winston Salem, NC
National Provider Identifier
1407253776
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A11185 Issued in NC
Practice address
620 Holly Ave
Winston Salem, NC 27101
Phone
(336) 725-3999
NPI assigned
Dec 2, 2014
Last updated
Dec 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A11185 NC Primary

Addresses

Primary practice location

620 Holly Ave
Winston Salem, NC 27101

Mailing address

620 Holly Ave
Winston Salem, NC 27101
Phone (336) 725-3999

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
I20241112000548 NC Practitioner - Mental Health Counselor 9739613977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Center IncGroup PAC ID 0042759680, 8 clinicians

Practice addresses (Care Compare)

640 Holly Ave
Winston Salem, NC 27101-2716
Phone (336) 725-3999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A11185NCMDCounselor
11185NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Center Inc Counselor CurrentSince Jul 1, 2024 Accepting new patients
Trinity Center Inc PastSince Jul 1, 2024 Accepting new patients

Locations

640 Holly Ave
Winston Salem, NC 27101
Phone (336) 725-3999

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1407253776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HOLLY AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-725-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOLLY AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-725-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVER",
        "first_name": "AMY",
        "middle_name": "BOND",
        "credential": "M.S., LPCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A11185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.