Individual provider Active NPI

L. K. Winley, PSYD, LP, HSP-P

  • Clinical Psychologist
  • Rocky Point, NC
National Provider Identifier
1972923084
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5905 Issued in NC
Practice address
15840 NC Hwy 210
Rocky Point, NC 28457-8550
Phone
(910) 231-3725
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 A10761 NC
Clinical Psychologist 103TC0700X 5905 NC Primary

Addresses

Primary practice location

15840 NC Hwy 210
Rocky Point, NC 28457-8550

Mailing address

15840 NC Hwy 210
Rocky Point, NC 28457-8550
Phone (919) 886-5310

Other names 1

  • Dr. Winley K. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A10761NCMDMental Health Counselor
5905NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wateryourfire Wellness Collective, PLLC Clinical CurrentSince Jun 22, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1972923084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 NC HWY 210",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284578550",
            "telephone_number": "919-886-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 NC HWY 210",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284578550",
            "telephone_number": "910-231-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINLEY",
        "first_name": "L.",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP, HSP-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10761",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WINLEY",
            "last_name": "K.",
            "prefix": "DR.",
            "credential": "PSYD, LP, HSP-P",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rocky Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.