Active NPI
Full Circle Wellness and Psychotherapy, PLLC
- Mental Health Counselor
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerrie Rouse, PHD, LCMHCA, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Georgetown, TX
- NPI 1538806872
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.