Individual provider Active NPI

Rebecca Stevens, LCMHC

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1740782507
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13818 Issued in NC
Practice address
104 Cambridge Plaza Dr
Winston Salem, NC 27104-3556
Phone
(336) 722-7266
Fax
(336) 201-0538
NPI assigned
Mar 7, 2018
Last updated
May 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13818 NC Primary

Addresses

Primary practice location

104 Cambridge Plaza Dr
Winston Salem, NC 27104-3556

Mailing address

713 S Marshall St
Winston Salem, NC 27101-5808
Phone (336) 722-7266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122001971 NC Practitioner - Mental Health Counselor 8527416080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alder Grove Counseling Collaborative, PLLCGroup PAC ID 2860917341, 5 clinicians

Practice addresses (Care Compare)

3000 Bethesda PL
Suite 402
Winston Salem, NC 27103-3326
Phone (336) 223-6910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13818NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alder Grove Counseling Collaborative, PLLC Mental Health CurrentSince Mar 11, 2025 Accepting new patients
Wellmood PLLC PastSince Jan 1, 2024 Accepting new patients

Locations

6255 Towncenter Dr
Clemmons, NC 27012
Phone (336) 794-6734

3000 Bethesda Pl
Ste 402
Winston Salem, NC 27103
Phone (336) 223-6910

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1740782507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 S MARSHALL ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015808",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CAMBRIDGE PLAZA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043556",
            "telephone_number": "336-722-7266",
            "fax_number": "336-201-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "REBECCA",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.