Individual provider Active NPI

Jamera McQueen, MHA,QP, LMHC-A,MS

  • Mental Health Counselor
  • Kernersville, NC
National Provider Identifier
1487227435
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1382 Dowden St
Kernersville, NC 27284-0107
Phone
(336) 602-5519
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X NC
Case Manager/Care Coordinator 171M00000X NC
Mental Health Counselor 101YM0800X A21893 NC
Mental Health Counselor 101YM0800X NC Primary
Pastoral Counselor 101YP1600X NC

Addresses

Primary practice location

1382 Dowden St
Kernersville, NC 27284-0107

Mailing address

1382 Dowden St
Kernersville, NC 27284-0107
Phone (336) 602-5519

Other practice location 1

8003 N Point Blvd
Winston Salem, NC 27106-3203
Phone (336) 602-5519

Other identifiers 1

IdentifierTypeStateIssuer
1382MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL Kernersville Other

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A21893NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Care2Loveinaction Addiction (Substance Use Disorder) CurrentSince Sep 1, 2022 Accepting new patients
Pivot Counseling and Consulting Services, PLLC Mental Health CurrentSince Sep 3, 2025 Accepting new patients

Locations

8003 N Point Blvd
Winston Salem, NC 27106
Phone (336) 602-5519

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1487227435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 DOWDEN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272840107",
            "telephone_number": "336-602-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 DOWDEN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272840107",
            "telephone_number": "336-602-5519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8003 N Point Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063203",
            "country_code": "US",
            "telephone_number": "336-602-5519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "JAMERA",
        "name_prefix": "Mrs.",
        "credential": "MHA,QP, LMHC-A,MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21893",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1382",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Kernersville",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Kernersville",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1382 Dowden St",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272840107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.