Active NPI
James Andrew Sewell, LCMHC
- Professional Counselor
- Winston Salem, NC
National Provider Identifier
1477911527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11952
- Practice address
- 3504 Vest Mill Rd Ste 1
Winston Salem, NC 27103-3073 - Phone
- (365) 826-0423
- Fax
- (336) 396-5865
- NPI assigned
- Feb 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11952 | NC | Primary |
Addresses
Primary practice location
3504 Vest Mill Rd Ste 1
Winston Salem, NC 27103-3073
Mailing address
3504 Vest Mill Rd Ste 1
Winston Salem, NC 27103-3073
Phone (365) 826-0423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477911527 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 16, 2025 through Sep 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11952 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1477911527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 VEST MILL RD STE 1",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033073",
"telephone_number": "365-826-0423",
"fax_number": "336-396-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 VEST MILL RD STE 1",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033073",
"telephone_number": "365-826-0423",
"fax_number": "336-396-5865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "JAMES",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-04",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477911527",
"state": "NC"
}
],
"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 Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.