MOUNTAIN RIDGE COUNSELING PLLC
NPI 1073487708
Counselor - Mental Health in Clemmons, NC

Active since October 04, 2025
6255 TOWNCENTER DR, UNIT 1698, CLEMMONS, NC 27012(336) 569-4340 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mountain Ridge Counseling Pllc NPPES

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

MOUNTAIN RIDGE COUNSELING PLLC (NPI 1073487708) is a healthcare organization registered as a mental health in Clemmons, North Carolina and active in the NPI registry since October 2025. The organization lists Melissa Casstevens, Owner/provider/authorized Rep, as its authorized official.

NPPES Registry Identity

NPI1073487708
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMOUNTAIN RIDGE COUNSELING PLLC
Location Address6255 TOWNCENTER DR, UNIT 1698Clemmons, NC 27012
Mailing AddressPo Box 114State Road, NC 28676-0114 · (336) 569-4340
Organization SubpartNo
Authorized OfficialMelissa CasstevensOwner/provider/authorized Rep · (336) 466-7268
Enumeration DateOctober 4, 2025
Last NPPES UpdateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1073487708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
6255 TOWNCENTER DR, Clemmons, NC 27012

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Mountain Ridge Counseling Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain Ridge Counseling PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1043787690
6255 TOWNCENTER DR UNIT 1698
Clemmons, NC 27012
(336) 569-4340
✔ PECOS✔ Accepts MedicareSame address

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 Mountain Ridge Counseling PLLC's NPI number?

The NPI number for Mountain Ridge Counseling PLLC is 1073487708. It was assigned to this organization in the NPPES registry on October 4, 2025.

Where is Mountain Ridge Counseling PLLC located?

Mountain Ridge Counseling PLLC is located at 6255 Towncenter Dr Unit 1698, Clemmons, NC 27012. The listed phone number is (336) 569-4340.

What is Mountain Ridge Counseling PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mountain Ridge Counseling PLLC enrolled in Medicare?

Yes. Mountain Ridge Counseling PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Ridge Counseling PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mountain Ridge Counseling 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountain Ridge Counseling PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Mountain Ridge Counseling 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 Mountain Ridge Counseling PLLC was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.