Organization Active NPI

Health Matters, PLLC Behavioral Health Counseling and Consultation

  • Clinical Social Worker
  • Clemmons, NC
National Provider Identifier
1780446567
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALTH MATTERS, PLLC BEHAVIORAL HEALTH COUNSELING AND CONSULTATION
Practice address
3540 Clemmons Rd Ste 110
Clemmons, NC 27012-9395
Phone
(336) 515-0738
Fax
(336) 232-1501
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Mrs. Karen Rene' Maynard, LCSWNPI 1740287937
Title
Member
Phone
(336) 515-0738

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3540 Clemmons Rd Ste 110
Clemmons, NC 27012-9395

Mailing address

3540 Clemmons Rd Ste 110
Clemmons, NC 27012-9395
Phone (336) 515-0738

Other identifiers 1

IdentifierTypeStateIssuer
1740287937MedicaidNC

Other names 1

  • Health Matters, PLLC Family Counseling Former legal business name

National Provider Directory

National Provider Directory

Locations

3540 Clemmons Rd
Ste 110
Clemmons, NC 27012
Phone (336) 778-0506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1780446567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 CLEMMONS RD STE 110",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129395",
            "telephone_number": "336-515-0738",
            "fax_number": "336-232-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 CLEMMONS RD STE 110",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129395",
            "telephone_number": "336-515-0738",
            "fax_number": "336-232-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MATTERS, PLLC BEHAVIORAL HEALTH COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "RENE'",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "336-515-0738",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740287937",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Matters, PLLC Family Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.