NPIMap

Organization Active NPI

Butterflies and Bumblebees 1, LLC

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1790934628
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2846 Issued in NC
Legal business name
BUTTERFLIES AND BUMBLEBEES 1, LLC
Practice address
500 W Northwest Blvd # 106
Winston Salem, NC 27105-6526
Phone
(336) 655-2036
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Ms. Dorothy Walton Walker, LPC, NCC, CBT
Title
Counselor
Phone
(336) 655-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2846 NC Primary

Addresses

Primary practice location

500 W Northwest Blvd # 106
Winston Salem, NC 27105-6526

Mailing address

500 W Northwest Blvd # 106
Winston Salem, NC 27105-6526
Phone (336) 655-2036

Other identifiers 1

IdentifierTypeStateIssuer
6102683MedicaidNC

National Provider Directory

National Provider Directory

Locations

500 W Northwest Blvd
#106
Winston Salem, NC 27105
Phone (336) 655-2036

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1790934628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W NORTHWEST BLVD # 106",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271056526",
            "telephone_number": "336-655-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W NORTHWEST BLVD # 106",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271056526",
            "telephone_number": "336-655-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFLIES AND BUMBLEBEES 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "WALTON",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "336-655-2036",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, NCC, CBT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102683",
            "state": "NC"
        }
    ],
    "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 Sep 16, 2008; 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.