1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Counselor
  6. NPI Profile

MRS. BEVERLY DYSHANNE BOOKER LCMHA
NPI 1083436018
Counselor - Professional in Winston Salem, NC

Active since October 30, 2024PECOS Enrolled
3333 BROOKVIEW HILLS BLVD STE 205, WINSTON SALEM, NC 27103(336) 261-6440(336) 232-1436 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Beverly Dyshanne Booker Lcmha NPPES

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

MRS. BEVERLY DYSHANNE BOOKER LCMHA (NPI 1083436018) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (A20095) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083436018
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. BEVERLY DYSHANNE BOOKERCredential: LCMHA
Location Address3333 BROOKVIEW HILLS BLVD STE 205Winston Salem, NC 27103-5661
Mailing Address351 Glendare CtWinston Salem, NC 27104-4735 · (336) 745-6732
Phone(336) 261-6440
Fax(336) 232-1436
Sole ProprietorYes
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1083436018 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 · A20095
3333 BROOKVIEW HILLS BLVD STE 205, Winston Salem, NC 27103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Beverly Dyshanne Booker Lcmha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Beverly Booker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valera Counseling Services
Same address
Mental Health
3333 BROOKVIEW HILLS BLVD STE 205
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1407335953 (814) 218-2598

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

LEIGHA DREW MYERS RBT
Counselor (Mental Health)
3333 BROOKVIEW HILLS BLVD STE 205
WINSTON SALEM, NC 27103
Forsyth County (336) 261-6440
MERIDA AMARILIS VALERA LPCA
Counselor (Mental Health)
3333 BROOKVIEW HILLS BLVD STE 205
WINSTON SALEM, NC 27103
Forsyth County (814) 218-2598
TIFFANY MONIQUE INGRAM
Counselor (Mental Health)
3333 BROOKVIEW HILLS BLVD STE 205
WINSTON SALEM, NC 27103
Forsyth County (336) 261-6440
VALERA COUNSELING SERVICES
Counselor (Mental Health)
3333 BROOKVIEW HILLS BLVD STE 205
WINSTON SALEM, NC 27103
Forsyth County (814) 218-2598
SAFE HAVEN AUTISM AND BEHAVIORAL CENTER
Community/Behavioral Health
3333 BROOKVIEW HILLS BLVD STE 205
WINSTON SALEM, NC 27103
Forsyth County (814) 218-2598
ILKA ALEXANDRIA DIXON LCSWA
Social Worker (Clinical)
3333 BROOKVIEW HILLS BLVD STE 205
WINSTON SALEM, NC 27103
Forsyth County (336) 261-6440

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 Beverly Booker's NPI number?

The NPI number for Beverly Booker is 1083436018. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Where is Beverly Booker located?

Beverly Booker practices at 3333 Brookview Hills Blvd Ste 205, Winston Salem, NC 27103. The listed phone number is (336) 261-6440.

What is Beverly Booker's specialty?

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

Is Beverly Booker enrolled in Medicare?

Yes. Beverly Booker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beverly Booker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Booker reassigns Medicare benefits to Valera Counseling Services (Winston Salem, NC). The 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 Beverly Booker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beverly Booker accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Beverly Booker 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 Beverly Booker was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.