Active NPI
Adrienne Daniels Forney
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1932574753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S12276
- Practice address
- 14923 Alyssa Faith Court
Charlotte, NC 28278 - Phone
- (980) 226-3236
- NPI assigned
- Dec 4, 2015
- Last updated
- Jan 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S12276 | NC | Primary |
| Professional Counselor | 101YP2500X | 12276 | NC |
Addresses
Primary practice location
14923 Alyssa Faith Court
Charlotte, NC 28278
Mailing address
14923 Alyssa Faith CT
Charlotte, NC 28278-7762
Phone (980) 226-3236
Other practice location 1
3106 S Memorial Dr Ste B
Greenville, NC 27834-6765
Phone (252) 916-6048
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S12276 | NC | MD | Mental Health Counselor |
| 12276 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yotaron Enrichment Resource Center | Current | Accepting new patients | |
| Crossway Counseling Solutions, LLC | Professional | Current | Accepting new patients |
Locations
3106 S Memorial Dr
Ste B
Greenville, NC 27834
Phone (252) 916-6048
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Greenville, NC
- NPI 1376945816
-
- Professional Counselor
- Charlotte, NC
- NPI 1851115281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1932574753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14923 ALYSSA FAITH CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787762",
"telephone_number": "980-226-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14923 ALYSSA FAITH COURT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28278",
"telephone_number": "980-226-3236"
}
],
"practiceLocations": [
{
"address_1": "3106 S Memorial Dr Ste B",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278346765",
"country_code": "US",
"telephone_number": "252-916-6048",
"fax_number": "252-916-6048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORNEY",
"first_name": "ADRIENNE",
"middle_name": "DANIELS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-04",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "S12276",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "12276",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.