Indigo Rivers Neurofeedback and Counseling
NPI 1073228847ActiveOrganization· Social Worker, Clinical· Winston Salem, NC
Social Worker, Clinical in Winston Salem, North Carolina, registered in NPPES in January 2023. The authorized official on file is Kimberley R. Hunt, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073228847 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2023 |
| Last updated in NPPES | Jul 29, 2023 |
| Certified by provider | Jul 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
Other clinical social workers in Winston Salem
- 1013507862
- 1023060159
- 1023575883
- 1033904479
- 1063090058
- 1164089207
- 1164146551
- 1174881874
- 1184719841
- 1225108707
- 1275074643
- 1316362551
All 434 clinical social workers in Winston Salem · All clinical social workers in North Carolina