Individual provider Active NPI

Jared Brinkerhoff

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1770192221
Registry record updated Oct 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
632 Holly Ave Unit 9
Winston Salem, NC 27101-2716
Phone
(336) 618-7579
Fax
(336) 464-7576
NPI assigned
Jul 29, 2020
Last updated
Oct 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2026

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 Primary

Addresses

Primary practice location

632 Holly Ave Unit 9
Winston Salem, NC 27101-2716

Mailing address

632 Holly Ave Unit 9
Winston Salem, NC 27101-2716
Phone (336) 618-7579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2650 Atwood Rd
Winston Salem, NC 27103-5408

3305 Healy Dr
Winston Salem, NC 27103-1406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded Mind Counseling, PLLC Mental Health CurrentSince Sep 14, 2025 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, 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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792800000000",
    "number": "1770192221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 HOLLY AVE UNIT 9",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012716",
            "telephone_number": "336-618-7579",
            "fax_number": "336-464-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 HOLLY AVE UNIT 9",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012716",
            "telephone_number": "336-618-7579",
            "fax_number": "336-464-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKERHOFF",
        "first_name": "JARED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.