Individual provider Active NPI

Samantha Fields, MA

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1477036341
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A12627 Issued in NC
Practice address
403 S Hawthorne Rd
Winston Salem, NC 27103-3784
Phone
(336) 716-0800
Fax
(336) 716-0822
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A12627 NC Primary

Addresses

Primary practice location

403 S Hawthorne Rd
Winston Salem, NC 27103-3784

Mailing address

PO Box 571097
Winston Salem, NC 27157-1097
Phone (336) 716-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carenet, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Carenet Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Carenet, Inc Professional PastSince May 25, 2021 Accepting new patients

Locations

114 Highland Ave
Fayetteville, NC 28305
Phone (910) 484-0176

3219 Landmark St
Ste 9
Greenville, NC 27834

403 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 716-0800

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 3

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1477036341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571097",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271571097",
            "telephone_number": "336-716-0800",
            "fax_number": "336-716-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033784",
            "telephone_number": "336-716-0800",
            "fax_number": "336-716-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "SAMANTHA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.