Mitchell Reed Prevatte

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20442 Issued in NC

Practice address

936 W 4TH St Ste 204
Winston Salem, NC 27101-2564

Phone

(336) 442-6461

NPI assigned

Aug 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1649002668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 GRANVILLE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015708",
            "telephone_number": "336-442-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W 4TH ST STE 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012564",
            "telephone_number": "336-442-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVATTE",
        "first_name": "MITCHELL",
        "middle_name": "REED",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Presutti
• Jenna Presutti, CRNA
• Elizabeth Marie Presutto, MD
• Rebecca Kate Prettyman, PA
• Hannah Grace Prevatt, MS, ED.S, LCMHC, NCC
• Teresa Prevatte, LPCA
• Preventative Wellness Solutions I PLLC
• Preventative Wellness Solutions II, PLLC
• James Prewitt
• Andrew Bennett Lee Price, DPT

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, 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 Aug 19, 2024; 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.