PATRICK SAL IDE MA, LPCA
NPI 1174022966
Counselor - Mental Health in Winston Salem, NC

Q: What is Patrick Ide's NPI number?

The NPI number for Patrick Ide is 1174022966. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Q: What is Patrick Ide's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patrick Ide was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 07, 2018

1922 S MARTIN LUTHER KING JR DR STE 255, WINSTON SALEM, NC 27107(336) 464-3136 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Patrick Sal Ide Ma, Lpca NPPES

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

PATRICK SAL IDE MA, LPCA (NPI 1174022966) is an individual mental health provider in Winston Salem, North Carolina and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1174022966

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NamePATRICK SAL IDECredential: MA, LPCA

Location Address1922 S MARTIN LUTHER KING JR DR STE 255Winston Salem, NC 27107-1361

Mailing Address12884 S Frontrunner Blvd Ste 140Draper, UT 84020-5488 · (336) 423-7697

Phone(336) 464-3136

Sole ProprietorYes

Enumeration DateFebruary 7, 2018

Last NPPES UpdateFebruary 16, 2022

NPPES CertifiedFebruary 16, 2022

✔ NPI 1174022966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1922 S MARTIN LUTHER KING JR DR STE 255, Winston Salem, NC 27107

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Other Identifiers 1

Medicaid1912446253NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah and more.Insurance ›

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 Patrick Ide's NPI number?

The NPI number for Patrick Ide is 1174022966. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Where is Patrick Ide located?

Patrick Ide practices at 1922 S Martin Luther King Jr Dr Ste 255, Winston Salem, NC 27107. The listed phone number is (336) 464-3136.

What is Patrick Ide's specialty?

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

What insurance does Patrick Ide accept?

Health plans from BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah and Select Health list Patrick Ide 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 Patrick Ide was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.