Individual provider Active NPI

Lynda Diane Noffsinger, LCMHC-S

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1568694396
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2342 Issued in NC
Practice address
1615 Polo Rd
Winston Salem, NC 27106-3831
Phone
(336) 722-7266
Fax
(336) 201-0538
NPI assigned
Aug 12, 2009
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2342 NC Primary

Addresses

Primary practice location

1615 Polo Rd
Winston Salem, NC 27106-3831

Mailing address

713 S Marshall St Ste 204
Winston Salem, NC 27101-5808
Phone (336) 722-7266

Other names 1

  • Mrs. Lynda Noffsinger Bynum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129000033 NC Practitioner - Mental Health Counselor 4183077936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alder Grove Counseling Collaborative, PLLCGroup PAC ID 2860917341, 5 clinicians

Practice addresses (Care Compare)

3000 Bethesda PL
Suite 402
Winston Salem, NC 27103-3326
Phone (336) 223-6910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2342NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Alder Grove Counseling Collaborative, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Wellmood PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

6255 Towncenter Dr
Clemmons, NC 27012
Phone (336) 794-6734

1615 Polo Rd
Winston Salem, NC 27106
Phone 33672272662304

3000 Bethesda Pl
Ste 402
Winston Salem, NC 27103
Phone (336) 223-6910

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1568694396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 S MARSHALL ST STE 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015808",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 POLO RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063831",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFFSINGER",
        "first_name": "LYNDA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LCMHC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "BYNUM",
            "middle_name": "NOFFSINGER",
            "prefix": "MRS.",
            "credential": "LCMHC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.