Active NPI
Rebecca L Nagaishi, MSW, LCSW, LMFT
- Marriage & Family Therapist
- Winston-Salem, NC
National Provider Identifier
1508942590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 286
- Practice address
- 610 Coliseum Drive
Family Services, Inc
Winston-Salem, NC 27106 - Phone
- (336) 722-8173
- Fax
- (336) 724-6491
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 000067 | NC | |
| Marriage & Family Therapist | 106H00000X | 286 | NC | Primary |
Addresses
Primary practice location
610 Coliseum Drive
Family Services, Inc
Winston-Salem, NC 27106
Mailing address
720 La Vale Dr
Clemmons, NC 27012-9042
Phone (336) 722-8173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003378 | Medicaid | NC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000067 | NC | MD | Clinical Social Worker |
| 286 | NC | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508942590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 LA VALE DR",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270129042",
"telephone_number": "336-722-8173",
"fax_number": "336-724-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 COLISEUM DRIVE",
"address_2": "FAMILY SERVICES, INC",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "27106",
"telephone_number": "336-722-8173",
"fax_number": "336-724-6491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGAISHI",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MSW, LCSW, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "000067",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003378",
"state": "NC"
}
],
"endpoints": [],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.