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NPI 1548885726ActiveOrganization· Clinic/Center· Winston Salem, NC
Clinic/Center in Winston Salem, North Carolina, registered in NPPES in June 2020. The authorized official on file is Kristin R. Bennett, PHD., Director.
Overview
| NPI | 1548885726 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2020 |
| Last updated in NPPES | Jun 12, 2020 |
| Certified by provider | Jun 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
| Family Medicine | 207Q00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 22 Clinic/Center providers in Winston Salem · All Clinic/Center providers in North Carolina