Individual provider Active NPI

Marcus Steele, LCMHC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1487996278
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A9964 Issued in NC
Practice address
8025 N Point Blvd
Suite 231
Winston Salem, NC 27106-3262
Phone
(336) 896-0065
Fax
(336) 896-0710
NPI assigned
Mar 20, 2013
Last updated
May 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 A9964 NC Primary

Addresses

Primary practice location

8025 N Point Blvd
Suite 231
Winston Salem, NC 27106-3262

Mailing address

3410 Healy Dr Ste 205
Winston Salem, NC 27103-1568
Phone (336) 793-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 16, 2024 through Apr 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A9964NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Christian Counseling Past Accepting new patients
New Life Counseling Center, PLLC Professional Past Accepting new patients

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1487996278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 HEALY DR STE 205",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031568",
            "telephone_number": "336-793-7005",
            "fax_number": "336-999-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 N POINT BLVD",
            "address_2": "SUITE 231",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063262",
            "telephone_number": "336-896-0065",
            "fax_number": "336-896-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "MARCUS",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.