Individual provider Active NPI

Rachelle Wilson Pinkney, LCMHC

  • Mental Health Counselor
  • Hickory, NC
National Provider Identifier
1437618303
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14691 Issued in NC
Practice address
1580 32ND St SW
Hickory, NC 28602-4633
Phone
(828) 324-8884
NPI assigned
Mar 19, 2019
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14691 NC Primary

Addresses

Primary practice location

1580 32ND St SW
Hickory, NC 28602-4633

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1907

Other practice location 1

1771 Tate Blvd SE
Hickory, NC 28602-4249
Phone (828) 758-1320

Other practice location 2

1528 Union Rd
Gastonia, NC 28054-2200
Phone (704) 864-1477

Other practice location 3

332 Greenhaven Dr NW
Lenoir, NC 28645-3613
Phone (828) 439-8191 ext. 8341

Other identifiers 1

IdentifierTypeStateIssuer
14691MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • 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
I20240315001659 NC Practitioner - Mental Health Counselor 3971949694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14691NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Sep 29, 2024 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Oct 7, 2024 Accepting new patients
Focus Behavioral Health Services, LLC Past Accepting new patients

Locations

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

1580 32nd St SW
Hickory, NC 28602
Phone (828) 324-8884

Organizations & group practices 4

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1437618303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 32ND ST SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024633",
            "telephone_number": "828-324-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1771 Tate Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286024249",
            "country_code": "US",
            "telephone_number": "828-758-1320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1528 Union Rd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542200",
            "country_code": "US",
            "telephone_number": "704-864-1477",
            "fax_number": "704-864-1476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 Greenhaven Dr NW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286453613",
            "country_code": "US",
            "telephone_number": "828-439-8191 x8341",
            "fax_number": "828-439-2588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINKNEY",
        "first_name": "RACHELLE",
        "middle_name": "WILSON",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "14691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14691",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.