Piedmont Counseling and Development

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

C006190 Issued in NC

Legal business name

PIEDMONT COUNSELING AND DEVELOPMENT

Practice address

4917 Piedmont Pkwy Ste 103D
Jamestown, NC 27282-7536

Phone

(336) 442-5458

NPI assigned

Oct 5, 2017

Last updated

Dec 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Monique Crutchfield, LCSW, LCASNPI 1487975595

Title

Therapist

Phone

(336) 442-5458

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monique Crutchfield, LCSW

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1487975595
  Medicare reassignment Care Compare group NPD Authorized official
• Sophire Marie Nelson

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1992278519

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Sheneika Alford

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1932580073
  Medicare reassignment NPD
• Vanessa Mills, LCMHCA

  • Mental Health Counselor
  • Jamestown, NC
  • NPI 1588545743
  NPD
• Ava Williams, M.S

  • Mental Health Counselor
  • Jamestown, NC
  • NPI 1720494586
  NPD

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1548770480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 PIEDMONT PKWY STE 103D",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827536",
            "telephone_number": "336-442-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 PIEDMONT PKWY STE 103D",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827536",
            "telephone_number": "336-442-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT COUNSELING AND DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "CRUTCHFIELD",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "336-442-5458",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "C006190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parakletos Services Incorporated
• Kenneth R. Pataky, MS, LCMHC, LMHC
• Donald P. Patterson, PH.D.
• Jesse Perry
• Rudolf Harald Wilhelm Petrini, LCMHC
• Piedmont Therapy and Wellness, PLLC
• Greta Miller Platt, CBC/SLP
• Andrea Nicole Pluskota, M.S, CCC/SLP
• Sheila S Polinsky, LCSW
• Stephanie J Powers, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jamestown, NC
• Providers in Jamestown, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.