Active NPI
Christie M Nelson, LPC, LCMHC
- Professional Counselor
- Winston Salem, NC
National Provider Identifier
1497297584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10051
- Practice address
- 175 Kimel Park Dr
Suite 100
Winston Salem, NC 27103-6951 - Phone
- (336) 277-1800
- NPI assigned
- Nov 7, 2016
- Last updated
- Dec 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10051 | NC | |
| Professional Counselor | 101YP2500X | 10051 | NC | Primary |
Addresses
Primary practice location
175 Kimel Park Dr
Suite 100
Winston Salem, NC 27103-6951
Mailing address
PO Box 75216
Charlotte, NC 28275-0216
Phone (336) 277-1800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CNELSON144484@DIRECT.NOVANTHEALTH.ORG |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10051 | NC | MD | Physical Therapist |
Interoperability endpoints
- cnelson144484@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1497297584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75216",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282750216",
"telephone_number": "336-277-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 KIMEL PARK DR",
"address_2": "SUITE 100",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036951",
"telephone_number": "336-277-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CHRISTIE",
"middle_name": "M",
"credential": "LPC, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-07",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "10051",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "10051",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CNELSON144484@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "175 Kimel Park Dr",
"address_2": "Suite 100",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271036951",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.