NPIMap

Organization Active NPI

Banyan Tree Counseling PLLC

Doing business as Banyan Tree Counseling and Wellness

  • Counselor
  • Winston Salem, NC
National Provider Identifier
1720619968
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BANYAN TREE COUNSELING PLLC
Doing business as
Banyan Tree Counseling and Wellness
Practice address
3305 Healy Dr
Winston Salem, NC 27103-1406
Phone
(336) 448-4451
Fax
(336) 450-1884
NPI assigned
Jan 27, 2020
Last updated
Sep 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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

Authorized official

Name
Chantal Hayes, LCMHCSNPI 1093136525
Title
Owner/Director
Phone
(910) 599-0218

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU
Registered Dietitian 133V00000X NU
Rehabilitation Counselor 225C00000X NU

Addresses

Primary practice location

3305 Healy Dr
Winston Salem, NC 27103-1406

Mailing address

3303 Healy Dr Ste B
Winston Salem, NC 27103-1569
Phone (336) 448-4451

Other practice location 1

3303 Healy Dr Ste B
Winston Salem, NC 27103-1569
Phone (336) 448-4451

Other practice location 2

206 N 4th St Ste 15
Wilmington, NC 28401-4028
Phone (336) 448-4451

Other names 1

  • Banyan Tree Counseling and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250718003552 NC Part B Supplier - Clinic/Group Practice 8022524842 Receives reassigned benefits from 11 practitioners
Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

206 N 4th St
Ste 15
Wilmington, NC 28401
Phone (336) 448-4451

1365 Westgate Center Dr
Ste L1
Winston Salem, NC 27103
Phone (336) 448-4451

3303 Healy Dr
Ste B
Winston Salem, NC 27103
Phone (336) 448-4451

3305 Healy Dr
Winston Salem, NC 27103
Phone (336) 448-4451

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788566400000",
    "number": "1720619968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 HEALY DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031569",
            "telephone_number": "336-448-4451",
            "fax_number": "336-450-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 HEALY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031406",
            "telephone_number": "336-448-4451",
            "fax_number": "336-450-1884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3303 Healy Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031569",
            "country_code": "US",
            "telephone_number": "336-448-4451",
            "fax_number": "336-450-1884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 N 4th St Ste 15",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284014028",
            "country_code": "US",
            "telephone_number": "336-448-4451",
            "fax_number": "336-450-1884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANYAN TREE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CHANTAL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "910-599-0218",
        "authorized_official_credential": "LCMHCS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banyan Tree Counseling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.