Nichole Leigh Arnold-Minkley, LCAS-A
Individual provider Active NPI Mental Health Counselor · Stem, NC
NPI 1508562174 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1508562174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- A19055 (NC)
- Practice address
- 4079 Old NC 75
Stem, NC 27581-9512 - Phone
- (918) 885-6549
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Certus Psychiatry and Integrated Care PLLC
Practice addresses (Care Compare)
1255 Creekshire Way
Suite 270
Winston Salem, NC 27103-3061
Phone (336) 701-3111
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 |
|---|---|---|---|---|
| I20260317003311 | NC | Practitioner - Mental Health Counselor | 1658855762 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-28617 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A19055 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
| Notary & Things, LLC | Mental Health | Past | Accepting new patients |
| At-Home Counseling Services, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-28617 | NC | |
| Mental Health Counselor | 101YM0800X | A19055 | NC | Yes |
Addresses
Primary practice location
4079 Old NC 75
Stem, NC 27581-9512
Mailing address
4079 Old NC 75
Stem, NC 27581-9512
Phone (919) 885-6549
Other providers in Stem, NC
All providers in Stem, 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 Feb 1, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.