Individual provider Active NPI

Fayth Piwonka

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1508760729
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A22974 Issued in NC
Practice address
3806 Park Ave Unit 1
Wilmington, NC 28403-6738
Phone
(910) 210-6160
NPI assigned
Oct 3, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A22974 NC Primary

Addresses

Primary practice location

3806 Park Ave Unit 1
Wilmington, NC 28403-6738

Mailing address

2656 Alvernia Dr
Castle Hayne, NC 28429-1409
Phone (910) 210-6160

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1508760729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 ALVERNIA DR",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284291409",
            "telephone_number": "910-210-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 PARK AVE UNIT 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036738",
            "telephone_number": "910-210-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIWONKA",
        "first_name": "FAYTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A22974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.