Individual provider Active NPI

Michelle Patterson Gross, LPC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1730409293
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7316 Issued in NC
Practice address
1131 Huntingdon Rd
Winston Salem, NC 27104-1646
Phone
(336) 760-1379
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
Yes

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
7316NCMDAudiologist-Hearing Aid Fitter

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7316 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

1131 Huntingdon Rd
Winston Salem, NC 27104-1646

Mailing address

1131 Huntingdon Rd
Winston Salem, NC 27104-1646
Phone (336) 760-1379

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2010.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1730409293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 HUNTINGDON RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041646",
            "telephone_number": "336-760-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 HUNTINGDON RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041646",
            "telephone_number": "336-760-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "MICHELLE",
        "middle_name": "PATTERSON",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7316",
            "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 8, 2010; 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.