Active NPI
Ricky A Speller Jr.
- Counselor
- Winston Salem, NC
National Provider Identifier
1568055549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- AL6322
- Practice address
- 4680 Brownsboro Rd RM A2
Winston Salem, NC 27106-3428 - Phone
- (814) 218-2598
- NPI assigned
- Feb 19, 2021
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | AL6322 | NC | Primary |
Addresses
Primary practice location
4680 Brownsboro Rd RM A2
Winston Salem, NC 27106-3428
Mailing address
1712 Yarborough Dr
Greensboro, NC 27405-2748
Phone (919) 612-3481
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 |
|---|---|---|---|
| AL6322 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valera Counseling Services | Counselor | Current | Accepting new patients |
Locations
4680 Brownsboro Rd
Rm A2
Winston Salem, NC 27106
Phone (336) 261-6440
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Valera Counseling Services, PLLC
- Mental Health Counselor
- Winston Salem, NC
- NPI 1407335953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1568055549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 YARBOROUGH DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274052748",
"telephone_number": "919-612-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4680 BROWNSBORO RD RM A2",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063428",
"telephone_number": "814-218-2598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPELLER",
"first_name": "RICKY",
"middle_name": "A",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-19",
"last_updated": "2026-09-29",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "AL6322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
- Barbara Bradford Specter, MD
- Spectrum Medical Group PA (Salem Chest Specialists)
- Speechcenter LLC, D/B/a Sidekick Therapy Partners
- Nicole Brynna Speeney, MS, RDN, LDN
- Mitchell G Speer, PHARMD
- Samantha Michelle Spence
- Frank Conner Spencer Jr, RPH
- Brooke Nicole Spencer, PA-C
- Christopher Michael Spencer, MS, CGC, LGC
- David M Spencer, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.