Organization Active NPI

New Life Counseling Center, PLLC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1649630997
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11197 Issued in NC
Legal business name
NEW LIFE COUNSELING CENTER, PLLC
Practice address
3410 Healy Dr
Suite 207
Winston Salem, NC 27103-1403
Phone
(336) 793-7005
Fax
(336) 923-2001
NPI assigned
Feb 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Ms. Donna Dunlap, LPCNPI 1417355918
Title
LPC/Owner
Phone
(336) 793-7005

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 11197 NC Primary

Addresses

Primary practice location

3410 Healy Dr
Suite 207
Winston Salem, NC 27103-1403

Mailing address

3410 Healy Dr
Suite 207
Winston Salem, NC 27103-1403
Phone (336) 793-7005

National Provider Directory

National Provider Directory

Locations

3410 Healy Dr
Ste 207
Winston Salem, NC 27103
Phone (336) 688-2023

Practitioners & affiliated clinicians

Practitioners 8

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": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1649630997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 HEALY DR",
            "address_2": "SUITE 207",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031403",
            "telephone_number": "336-793-7005",
            "fax_number": "336-923-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 HEALY DR",
            "address_2": "SUITE 207",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031403",
            "telephone_number": "336-793-7005",
            "fax_number": "336-923-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "336-793-7005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11197",
            "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 Feb 29, 2016; 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.