ALDER GROVE COUNSELING COLLABORATIVE, PLLC
NPI 1053140541
Counselor - Mental Health in Clemmons, NC
About Alder Grove Counseling Collaborative, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALDER GROVE COUNSELING COLLABORATIVE, PLLC (NPI 1053140541) is a healthcare organization registered as a mental health in Clemmons, North Carolina and active in the NPI registry since July 2024. The organization lists Cheryl Denine Goldberg, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alder Grove Counseling Collaborative, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Alder Grove Counseling Collaborative, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Alder Grove Counseling Collaborative, PLLC's NPI number?
The NPI number for Alder Grove Counseling Collaborative, PLLC is 1053140541. It was assigned to this organization in the NPPES registry on July 31, 2024.
Where is Alder Grove Counseling Collaborative, PLLC located?
Alder Grove Counseling Collaborative, PLLC is located at 5939 Frye Bridge Rd, Clemmons, NC 27012. The listed phone number is (336) 391-2803.
What is Alder Grove Counseling Collaborative, PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Alder Grove Counseling Collaborative, PLLC enrolled in Medicare?
Yes. Alder Grove Counseling Collaborative, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alder Grove Counseling Collaborative, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Alder Grove Counseling Collaborative, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (6) and Nurse Practitioner (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Alder Grove Counseling Collaborative, PLLC accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Alder Grove Counseling Collaborative, PLLC 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 Alder Grove Counseling Collaborative, PLLC was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Alder Grove Counseling Collaborative, Pllc · NPI 1053140541
Mental Health organization in Clemmons, North Carolina. Organization record, active in the CMS NPPES registry since July 31, 2024.
## Identity
- **NPI:** 1053140541 (Entity type: Organization)
- **Enumerated:** July 31, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Cheryl Goldberg, CO-OWNER
## Practice location
- **Address:** 5939 FRYE BRIDGE RD, Clemmons, NC 27012-9600
- **Phone:** (336) 391-2803
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (6), Nurse Practitioner (1); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053140541) · Data from the CMS NPPES public registry.