NPIMap

Organization Active NPI

Prizms Center for Mindbody Integration LLC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1629214358
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2490 Issued in NC
Legal business name
PRIZMS CENTER FOR MINDBODY INTEGRATION LLC
Practice address
115 N Poplar St
Winston Salem, NC 27101-3741
Phone
(336) 761-5071
Fax
(336) 761-5071
NPI assigned
Dec 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Mr. Lawrence A Moretz, M.ED., LPCNPI 1588640916
Title
Director/President
Phone
(336) 761-5071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2490 NC Primary

Addresses

Primary practice location

115 N Poplar St
Winston Salem, NC 27101-3741

Mailing address

PO Box 20323
Winston Salem, NC 27120-0323
Phone (336) 761-5071

Other names 1

  • Prizms Counseling and Consulting Services Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1629214358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20323",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271200323",
            "telephone_number": "336-761-5071",
            "fax_number": "336-761-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N POPLAR ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013741",
            "telephone_number": "336-761-5071",
            "fax_number": "336-761-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIZMS CENTER FOR MINDBODY INTEGRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "MORETZ",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "336-761-5071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prizms Counseling and Consulting Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.