Individual provider Active NPI

Adrienne Daniels Forney

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1932574753
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S12276 Issued in NC
Practice address
14923 Alyssa Faith Court
Charlotte, NC 28278
Phone
(980) 226-3236
NPI assigned
Dec 4, 2015
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216002065 NC Practitioner - Mental Health Counselor 5193251056 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S12276NCMDMental Health Counselor
12276NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yotaron Enrichment Resource Center CurrentSince Jan 28, 2026 Accepting new patients
Crossway Counseling Solutions, LLC Professional CurrentSince Nov 17, 2024 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.

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

Verify at the official NPI Registry.