Active NPI
Greentree Peer Support
- Peer Specialist
- Winston Salem, NC
National Provider Identifier
1629988316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 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.