Mary Beth Edens

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4499 Issued in NC

Practice address

640 Holly Ave
Winston Salem, NC 27101-2716

Phone

(336) 725-3999

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trinity Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Winston Salem, NC
  • NPI 1700892478

  Mental Health

  NPD (past)
• Trinity Center Inc

  • Counseling Psychologist
  • Winston Salem, NC
  • NPI 1780536383
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1528072584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CEDAR TRL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045011",
            "telephone_number": "336-765-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HOLLY AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012716",
            "telephone_number": "336-725-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENS",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4499",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "4499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Economos, LCSW
• Roshen Thomas Edathil, CRNA
• Eduardo Edelman Saul, M.D.
• Diane Elizabeth Edelman, LPC
• Leah Bethany Edenfield, PHARMD, BCOP, CPP
• Kendra Dian Edge, PA
• Amanda Elizabeth Edgerton, CCC, SLP
• John Robert Edminister, MD
• Lisa Kight Edmonds, FNP-C
• Curtis Ebray Edmunds Jr., MASSAGE THERAPIST

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• 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.

Verify at the official NPI Registry.