Individual provider Active NPI

Narissa D Huntley, LCMHC

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1710478441
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13850 Issued in NC
Practice address
450 W Hanes Mill Rd Ste 226&249
Winston Salem, NC 27105-9141
Phone
(336) 701-0243
Fax
(336) 734-2629
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13850 NC
Mental Health Counselor 101YM0800X 13850 NC Primary

Addresses

Primary practice location

450 W Hanes Mill Rd Ste 226&249
Winston Salem, NC 27105-9141

Mailing address

450 W Hanes Mill Rd Ste 226&249
Winston Salem, NC 27105-9141
Phone (336) 701-0243

Other practice location 1

1396 Old Mill Cir Ste 206
Winston Salem, NC 27103-2957
Phone (336) 701-0243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13850NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntley Counseling Center, PLLC Mental Health CurrentSince Jun 6, 2021 Accepting new patients
Grace Community Care Services, LLC Current Accepting new patients

Locations

450 W Hanes Mill Rd
Ste 226249
Winston Salem, NC 27105
Phone (336) 701-0243

1396 Old Mill Cir
Ste 206
Winston Salem, NC 27103
Phone (336) 701-0243

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1710478441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W HANES MILL RD STE 226&249",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059141",
            "telephone_number": "336-701-0243",
            "fax_number": "336-734-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W HANES MILL RD STE 226&249",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059141",
            "telephone_number": "336-701-0243",
            "fax_number": "336-734-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1396 Old Mill Cir Ste 206",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271032957",
            "country_code": "US",
            "telephone_number": "336-701-0243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTLEY",
        "first_name": "NARISSA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13850",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13850",
            "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 Jun 19, 2021; 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.