Westgate Counseling & Wellness

Primary specialty

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

Legal business name

WESTGATE COUNSELING & WELLNESS

Practice address

1319 Ashleybrook LN
Winston Salem, NC 27103-2918

Phone

(336) 283-7070

Fax

(336) 659-7866

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Carol Marie Zordano, LCMHC, LCAS, EDSNPI 1053564500

Title

Mental Health Clinician

Phone

(704) 682-1139

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Marie Zordano, LCMHC

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1053564500
  NPD Authorized official

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1609464726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26342",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271146342",
            "telephone_number": "336-283-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 ASHLEYBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032918",
            "telephone_number": "336-283-7070",
            "fax_number": "336-659-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "ZORDANO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "704-682-1139",
        "authorized_official_credential": "LCMHC, LCAS, EDS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ratarsha West, LCAS-A
• Rebecca Meyer West, LCSW
• Carl Joseph Westcott, MD
• Denise B Westendorf
• Dagmar Westerling, M.D., PH.D.
• Westgate Dermatology and Laser Center, P.a.
• Cecelia B. Westmoreland, LPC, LCAS
• Rolan Nelson Westmoreland, PT
• Eileen Merritt Weston, NP
• Jonathan D Weston, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Winston Salem, NC
• Providers in Winston Salem, 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 Jan 12, 2021; 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.