Elevate Counseling & Wellness, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELEVATE COUNSELING & WELLNESS, PLLC

Practice address

632 Holly Ave
Winston Salem, NC 27101-2716

Phone

(336) 281-5444

NPI assigned

Mar 12, 2022

Last updated

Mar 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenna Dara Snyder, LCMHC, LCAS, NCCNPI 1831697333

Title

Founder/Owner

Phone

(336) 978-2580

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Elevate Counseling Wellness PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elevate Counseling & Wellness, PLLC

  • Mental Health Counselor
  • Charleston, SC
  • NPI 1770400012
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenna Dara Snyder, LPCA

  • Professional Counselor
  • Greensboro, NC
  • NPI 1831697333
  NPD Authorized official

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647043200000",
    "number": "1700534484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W KINDERTON WAY APT 103",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067392",
            "telephone_number": "336-978-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 HOLLY AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012716",
            "telephone_number": "336-281-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE COUNSELING & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "DARA",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "336-978-2580",
        "authorized_official_credential": "LCMHC, LCAS, NCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1831697333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elite Healthcare Group Inc.
• Elite Movement WS LLC

• 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 Mar 12, 2022; 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.