Mahala Motzny, MS/EDS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12183 Issued in NC

Practice address

2235 Lewisville Clemmons Rd Ste a
Clemmons, NC 27012-9342

Phone

(336) 408-6917

NPI assigned

May 14, 2014

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

Opted out of Medicare

Yes, effective Jan 24, 2024 through Jan 24, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Root to Rise Counseling and Recovery Services

  • Adult Mental Health Clinic/Center
  • Winston Salem, NC
  • NPI 1932879293
  NPD Authorized official

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1609287408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 ASHVIEW DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033422",
            "telephone_number": "336-408-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 LEWISVILLE CLEMMONS RD STE A",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129342",
            "telephone_number": "336-408-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTZNY",
        "first_name": "MAHALA",
        "credential": "MS/EDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12183",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Skillman Moore, PT, MHA, MBA
• Mornad Health PLLC
• Kathryn Dudley Morris, LCSW
• Melissa J Morrissette-Hurst, LCSWA
• Abigail Mosqueda, RBT
• Mount Eagle Health Care - Clemmons, LLC
• Mountain Ridge Counseling PLLC
• Mt Physical Therapy, LLC
• Multi-Therapeutic Services, Inc
• Multi-Therapeutic Services, Inc.

• Mental Health Counselor in Clemmons, NC
• Providers in Clemmons, 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 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.