Individual provider Active NPI

Amanda Melinda McLeroy, MS, LCMHCA, NCC

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1770106122
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A15706 Issued in NC
Practice address
4680 Brownsboro Rd RM A2
Winston Salem, NC 27106-3428
Phone
(770) 820-8915
NPI assigned
May 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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 A15706 NC Primary

Addresses

Primary practice location

4680 Brownsboro Rd RM A2
Winston Salem, NC 27106-3428

Mailing address

4680 Brownsboro Rd RM A2
Winston Salem, NC 27106-3428

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 Science

State licenses

LicenseStateTypeSpecialty
A15706NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1770106122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 BROWNSBORO RD RM A2",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 BROWNSBORO RD RM A2",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063428",
            "telephone_number": "770-820-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEROY",
        "first_name": "AMANDA",
        "middle_name": "MELINDA",
        "credential": "MS, LCMHCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15706",
            "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 May 20, 2020; 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.