Kathleen Grace Burruss, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A23338 Issued in NC

Practice address

2499 Henning Dr
Winston Salem, NC 27106-4558

Phone

(336) 298-6818

NPI assigned

Aug 5, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Burruss Other name

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.

• Nourished and Known, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winston Salem, NC
  • NPI 1043939960
  NPD (past)

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1962326819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 POLO RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 HENNING DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064558",
            "telephone_number": "336-298-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRUSS",
        "first_name": "KATHLEEN",
        "middle_name": "GRACE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A23338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BURRUSS",
            "credential": "LCMHCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachelle Evans Burrell, MSW, LCSW
• Chris H Burris, LPC, LMFT
• Jessica Burris, DO
• James Scott Burrow, M.D.
• Aquita Lynn Burrus, MSW, LCSW
• Madeline Claire Burt, MD
• Rachel A Vasaly Burti, NP
• Madelyn Burton
• Patricia Dawn Burton, BSN, RN, CCM
• Shlanda Burton, B.S.,B.S.,CLE

• 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 Aug 5, 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.