Dalton S Kornegay, PHD, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20833 Issued in NC

Practice address

1206 Evans St Ste 10
Greenville, NC 27834-4102

Phone

(252) 714-2145

NPI assigned

Dec 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1801604186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 EVANS ST STE 10",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344102",
            "telephone_number": "252-714-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 EVANS ST STE 10",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344102",
            "telephone_number": "252-714-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNEGAY",
        "first_name": "DALTON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur E Kopelman, MD
• Hannah Koppelman
• Ananya Koripella
• Bradley Edward Kornegay, MSW, LCSW, LCAS
• Christopher Chad Kornegay, MD
• Joanne Fay Koster, MSW,LCSW
• Melissa Koster, PA-C
• Lauren Brooke Kostok, AGACNP-BC
• Michael Joseph Kostok, CRNA
• Misty Marie Kosydar, MD

• Mental Health Counselor in Greenville, NC
• Providers in Greenville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.