Nicole Drake

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1801 Olivers Crossing Cir
Winston Salem, NC 27127-7133

Phone

(336) 306-2200

NPI assigned

Sep 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Guruji Products Inc

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1063893865

  Counselor

  NPD (past) Authorized official

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1891163226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 OLIVERS CROSSING CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277133",
            "telephone_number": "336-306-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 OLIVERS CROSSING CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277133",
            "telephone_number": "336-306-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. B. Keith Cash - Optometry, PLLC
• Dr. Cameron & Associates of Winston-Salem, PLLC
• Dr. Cameron & Associates XII, PLLC
• Dr. R Edward Mooring Jr. & Associates, PA
• Joseph Daniel Dragonetti, M.D.
• Sarah R Dralle, NP
• Iesha Drame', OTR/L
• Dream Makers Assisted Living Services, LLC..
• Helen Brooks Yearley Dresser, PA-C
• Marisa Drevenak, PA-C

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, 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 Sep 2, 2015; 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.