Willie Bryon Norris, LPC-A
Individual provider Active NPI Mental Health Counselor · Selma, NC
NPI 1497270722 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1497270722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 13194 (NC)
- Practice address
- 1420A S Pollock St
Selma, NC 27576-3404 - Phone
- (919) 351-0428
- Fax
- (919) 351-0814
- NPI assigned
- Aug 8, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250410002595 | NC | Practitioner - Mental Health Counselor | 8123542149 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13194 | NC | MD | Mental Health Counselor |
| A13194 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yotaron Enrichment Resource Center | Current |
Accepting new patients | |
| Pathways to Life, Inc | Past |
Accepting new patients |
Locations
3106 S Memorial Dr
Ste B
Greenville, NC 27834
Phone (252) 916-6048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A13194 | NC | |
| Mental Health Counselor | 101YM0800X | 13194 | NC | Yes |
Addresses
Primary practice location
1420A S Pollock St
Selma, NC 27576-3404
Mailing address
1420A S Pollock St
Selma, NC 27576-3404
Phone (919) 351-0428
Other practice location 1
3106 S Memorial Dr Ste B
Greenville, NC 27834-6765
Phone (252) 916-6048
Other providers in Selma, NC
- Kristen Leigh Moore
- Yanette Morales
- Linda Chewning Nelson
- Neuse Charter School of Johnston County
- Catherine G Newton
- North Carolina CVS Pharmacy LLC
- Heather Lorraine Norton
- Omni Visions, Inc.
- Johanna Osweiler
- Cynthia Creech Parrish
All providers in Selma, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.