Organization Active NPI

Full Circle Wellness and Psychotherapy, PLLC

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1881569697
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FULL CIRCLE WELLNESS AND PSYCHOTHERAPY, PLLC
Practice address
632 Holly Ave Ste 8
Winston Salem, NC 27101-2716
Phone
(512) 355-1091
NPI assigned
Oct 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Kerrie Rouse, PHD, LCMHCA, LMFTNPI 1215693296
Title
Owner
Phone
(512) 355-9091

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

632 Holly Ave Ste 8
Winston Salem, NC 27101-2716

Mailing address

632 Holly Ave Ste 8
Winston Salem, NC 27101-2716

National Provider Directory

National Provider Directory
Tax ID family
Full Circle Wellness and Psychotherapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

632 Holly Ave
Ste 8
Winston Salem, NC 27101
Phone (512) 355-1091

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": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1881569697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 HOLLY AVE STE 8",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 HOLLY AVE STE 8",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012716",
            "telephone_number": "512-355-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE WELLNESS AND PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-355-9091",
        "authorized_official_credential": "PHD, LCMHCA, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 14, 2026; 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.