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AMANDA GRACE CONNELLY
NPI 1013170885
Counselor - Professional in Winston Salem, NC

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
4140 CHERRY ST, WINSTON SALEM, NC 27105(336) 306-9620 Get Directions Write a Review

NPPES record last updated: December 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Grace Connelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA GRACE CONNELLY (NPI 1013170885) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (9785) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1013170885
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA GRACE CONNELLY
Location Address4140 CHERRY STWinston Salem, NC 27105-2536
Mailing Address350 Pee Dee Ave Ste 101Albemarle, NC 28001-4945 · (704) 986-1500
Phone(336) 306-9620
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 2, 2008
Last NPPES UpdateDecember 1, 2017
✔ NPI 1013170885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 9785
4140 CHERRY ST, Winston Salem, NC 27105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Grace Connelly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153779202
PECOS Enrollment IDI20231129003051
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA ADKINS LPC
Counselor (Mental Health)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (336) 306-9620
MRS. CANDICE MCDOWELL CARTNER LPC, MA, NCC
Counselor (Professional)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (828) 551-2976
SHANTEL KIMBROUGH
Counselor (Addiction (Substance Use Disorder))
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (336) 306-9620
NAKEYTA GOOLSBY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (866) 272-7826
MR. EVAN MCCOY POWELL LPCA, LCASA
Counselor (Professional)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (336) 306-9620
LAUREN ANDREWS BOYETTE LCMHCA
Counselor (Mental Health)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (866) 272-7826
QUANITTA LASHAY BROOKS BSW, MSW, LCSWA
Social Worker (Clinical)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (866) 272-7826
CAMPBELL GRAY JACKSON
Social Worker (Clinical)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Forsyth County (866) 272-7826

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Connelly's NPI number?

The NPI number for Amanda Connelly is 1013170885. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Amanda Connelly located?

Amanda Connelly practices at 4140 Cherry St, Winston Salem, NC 27105. The listed phone number is (336) 306-9620.

What is Amanda Connelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Connelly enrolled in Medicare?

Yes. Amanda Connelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Connelly accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Amanda Connelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Connelly was last updated on December 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.