Individual provider Active NPI

Mary O Sotile, MA, LPC

  • Counselor
  • Winston-Salem, NC
National Provider Identifier
1740223437
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC652 Issued in NC
Practice address
1396 Old Mill Circle
Sotile Psychological Associates, PLLC
Winston-Salem, NC 27103
Phone
(336) 765-3032
Fax
(336) 760-6977
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC652 NC Primary

Addresses

Primary practice location

1396 Old Mill Circle
Sotile Psychological Associates, PLLC
Winston-Salem, NC 27103

Mailing address

155 Saint Charles LN
Mooresville, NC 28117-8459
Phone (336) 765-3032

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC652NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne M. Sotile, PH.D. Past Accepting new patients

Organizations & group practices 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740223437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SAINT CHARLES LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178459",
            "telephone_number": "336-765-3032",
            "fax_number": "336-760-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 OLD MILL CIRCLE",
            "address_2": "SOTILE PSYCHOLOGICAL ASSOCIATES, PLLC",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-765-3032",
            "fax_number": "336-760-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTILE",
        "first_name": "MARY",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "LPC652",
            "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 Jul 13, 2026; 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.