Individual provider Active NPI

Laura Dunston, LCSW

  • Mental Health Counselor
  • Wake Forest, NC
National Provider Identifier
1871195289
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C008579 Issued in NC
Practice address
8005 Knebford Cir
Wake Forest, NC 27587-5371
Phone
(919) 671-6369
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 C008579 NC Primary

Addresses

Primary practice location

8005 Knebford Cir
Wake Forest, NC 27587-5371

Mailing address

8005 Knebford Cir
Wake Forest, NC 27587-5371
Phone (919) 671-6369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530002754 NC Practitioner - Clinical Social Worker 5294192696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Shine Counseling, PLLCGroup PAC ID 5799017349, 3 clinicians

Practice addresses (Care Compare)

1931 J N Pease PL
Suite 104
Charlotte, NC 28262-4540
Phone (704) 734-9480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C008579NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Counseling, PLLC CurrentSince Mar 13, 2023 Accepting new patients

Locations

1931 J N Pease Pl
Ste 104
Charlotte, NC 28262
Phone (704) 548-1328

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1871195289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 KNEBFORD CIR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875371",
            "telephone_number": "919-671-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 KNEBFORD CIR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875371",
            "telephone_number": "919-671-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNSTON",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C008579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.