Organization Active NPI

Greentree Peer Support

  • Peer Specialist
  • Winston Salem, NC
National Provider Identifier
1629988316
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
GREENTREE PEER SUPPORT
Practice address
1025 W 1St St
Winston Salem, NC 27101-3609
Phone
(336) 429-4086
NPI assigned
Sep 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Amanda Martin
Title
Executive Director
Phone
(336) 429-4086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

1025 W 1St St
Winston Salem, NC 27101-3609

Mailing address

1025 W 1St St
Winston Salem, NC 27101-3609
Phone (336) 429-4086

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1629988316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W 1ST ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013609",
            "telephone_number": "336-429-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W 1ST ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013609",
            "telephone_number": "336-429-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTREE PEER SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-429-4086"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.