NPIMap

Organization Active NPI

Capstone Wellness Center

  • Professional Counselor
  • Sparta, NC
National Provider Identifier
1780008870
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3453 Issued in NC
Legal business name
CAPSTONE WELLNESS CENTER
Practice address
115 Atwood St
Sparta, NC 28675-9299
Phone
(336) 467-0489
NPI assigned
Feb 10, 2014
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Patricia Andrews, LPCNPI 1811965072
Title
Owner
Phone
(336) 467-0489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3453 NC Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

115 Atwood St
Sparta, NC 28675-9299

Mailing address

PO Box 192
Sparta, NC 28675-0192
Phone (336) 467-0489

Other practice location 1

190 N Main St
Sparta, NC 28675-8894
Phone (336) 467-0489

Other practice location 2

182 Doctors St
Sparta, NC 28675-9375
Phone (336) 467-0489

Other identifiers 1

IdentifierTypeStateIssuer
1780008870MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180423000028 NC Part B Supplier - Clinic/Group Practice 9133482383 Receives reassigned benefits from 5 practitioners
Practice locations: Elkin, NC; Sparta, NC

National Provider Directory

National Provider Directory

Locations

110 Dutchman Ct
Fl 2
Elkin, NC 28621
Phone (336) 467-0489

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1780008870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286750192",
            "telephone_number": "336-467-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ATWOOD ST",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759299",
            "telephone_number": "336-467-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "NC",
            "postal_code": "286758894",
            "country_code": "US",
            "telephone_number": "336-467-0489",
            "fax_number": "888-507-3159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "182 Doctors St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "NC",
            "postal_code": "286759375",
            "country_code": "US",
            "telephone_number": "336-467-0489",
            "fax_number": "888-507-3159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPSTONE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-467-0489",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3453",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780008870",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.