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SATION KONCHELLAH
NPI 1144613043
Counselor - Professional in Greensboro, NC

Active since March 17, 2015PECOS EnrolledAccepts Medicare Assignment
3709 W MARKET ST, GREENSBORO, NC 27403(336) 494-5743(866) 278-9217 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 5, 2025, Jul 6, 2021, Apr 26, 2019 and 1 more (4 updates tracked since 2016).

About Sation Konchellah NPPES

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

SATION KONCHELLAH (NPI 1144613043) is an individual professional provider in Greensboro, North Carolina, licensed in North Carolina (A11840) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1144613043
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSATION KONCHELLAH
Location Address3709 W MARKET STGreensboro, NC 27403-4432
Mailing AddressPo Box 122Sedalia, NC 27342-0122 · (336) 494-5743
Phone(336) 494-5743
Fax(866) 278-9217
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 17, 2015
Last NPPES UpdateDecember 5, 20254 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1144613043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A11840
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 1068603 (NC)
3709 W MARKET ST, Greensboro, NC 27403
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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, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sation Konchellah 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 ID6103278890
PECOS Enrollment IDI20240118001103
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 Sation Konchellah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grace Counseling And Wellness
Same address
Professional
3709 W MARKET ST
Greensboro, NC 27403
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1376068528 (336) 494-5743

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 2

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

SHAUNTA ADAMS ALVAREZ MS, LCMHCA
Counselor (Mental Health)
3709 W MARKET ST
GREENSBORO, NC 27403
Guilford County (336) 464-5743
GRACE COUNSELING AND WELLNESS
Counselor (Professional)
3709 W MARKET ST
GREENSBORO, NC 27403
Guilford County (336) 494-5743

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 Sation Konchellah's NPI number?

The NPI number for Sation Konchellah is 1144613043. It was assigned to this individual provider in the NPPES registry on March 17, 2015.

Where is Sation Konchellah located?

Sation Konchellah practices at 3709 W Market St, Greensboro, NC 27403. The listed phone number is (336) 494-5743.

What is Sation Konchellah's specialty?

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

Is Sation Konchellah enrolled in Medicare?

Yes. Sation Konchellah 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.

Which organization bills Medicare for Sation Konchellah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sation Konchellah reassigns Medicare benefits to Grace Counseling And Wellness (Greensboro, 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 Sation Konchellah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sation Konchellah accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Sation Konchellah 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 Sation Konchellah was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.