Individual provider Active NPI

Frederick Junior Winley, LCMHCA

  • Mental Health Counselor
  • Fuquay Varina, NC
National Provider Identifier
1770483422
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A23728 Issued in NC
Practice address
400 W Ransom St
Fuquay Varina, NC 27526-2434
Phone
(610) 799-7030
Fax
(919) 285-3233
NPI assigned
Nov 6, 2026
Last updated
Nov 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 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 A23728 NC Primary

Addresses

Primary practice location

400 W Ransom St
Fuquay Varina, NC 27526-2434

Mailing address

PO Box 153
Pantego, NC 27860-0153
Phone (989) 915-9646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793923200000",
    "number": "1770483422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "city": "PANTEGO",
            "state": "NC",
            "postal_code": "278600153",
            "telephone_number": "989-915-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W RANSOM ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262434",
            "telephone_number": "610-799-7030",
            "fax_number": "919-285-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINLEY",
        "first_name": "FREDERICK",
        "middle_name": "JUNIOR",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A23728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.