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EASTER SEALS UCP NC & VA, INC
NPI 1194887695
Counselor - Mental Health in Mount Airy, NC

Active since December 14, 2006
414 W LEBANON ST, MOUNT AIRY, NC 27030(336) 786-7079(336) 786-6312 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Easter Seals Ucp Nc & Va, Inc NPPES

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

EASTER SEALS UCP NC & VA, INC (NPI 1194887695) is a healthcare organization registered as a mental health in Mount Airy, North Carolina and active in the NPI registry since December 2006. The organization lists Nasheba Key-allred, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1194887695
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEASTER SEALS UCP NC & VA, INC
Location Address414 W LEBANON STMount Airy, NC 27030-2954
Mailing Address5171 Glenwood Ave, Suite 400Raleigh, NC 27612-3266 · (919) 783-8898 · Fax (919) 782-5486
Phone(336) 786-7079
Fax(336) 786-6312
Organization SubpartNo
Authorized OfficialNasheba Key-allredCredentialing Specialist · (919) 865-8632
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 12, 2019
✔ NPI 1194887695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 9901371
414 W LEBANON ST, Mount Airy, NC 27030
Open in Google Maps ↗

Other Names 1

Doing Business AsEaster Seals Ucp Nc & Va, Inc

Other Identifiers 2

Other018KJNC · Nc Bcbs Group Provider Nu
Medicaid5903514NC

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Easter Seals Ucp Nc & Va, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

71

Medicare enrollment records show 71 clinicians reassign Medicare billing to Easter Seals Ucp Nc & VA, Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Clinical Social Worker25
Mental Health Counselor18
Nurse Practitioner13
Psychiatry10
Marriage and Family Therapist2
Addiction Medicine1
Clinical Psychologist1
Internal Medicine1

Nearest to this location (20)

See all 71
Ashley Hamby, LCMHC
Mental Health Counselor
NPI 1538626544
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOSSame address
Linda Jacobs, LPC
Mental Health Counselor
NPI 1841493533
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS✔ Accepts MedicareSame address
Keisha Johnston, LCSW-A
Clinical Social Worker
NPI 1679283550
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS✔ Accepts MedicareSame address
Joshua Simmons, LCSW-A
Clinical Social Worker
NPI 1962136465
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOSSame address
Zackary Hawks, MA
Mental Health Counselor
NPI 1164776118
414 W LEBANON ST
Mount Airy, NC 27030
(336) 789-9492
✔ PECOS✔ Accepts MedicareSame address
Tonya Oakley, M.A.,L.M.F.T
Marriage and Family Therapist
NPI 1417007733
351 RIVERSIDE DR
Mount Airy, NC 27030
(336) 786-7079
✔ PECOS0.9 mi
Mandy Gravitte, LCSW, LCAS-A
Clinical Social Worker
NPI 1730415894
140 FRANKLIN ST
Mount Airy, NC 27030
(336) 755-2085
✔ PECOS✔ Accepts Medicare1.0 mi
Frantz Pierre, M.D
Psychiatry
NPI 1710168042
847 W LAKE DR
Mount Airy, NC 27030
(336) 783-6919
✔ PECOS✔ Accepts Medicare6.2 mi
Charles Dixon, M.S., NCC, LPCA
Mental Health Counselor
NPI 1992173363
913 N CAROLINA AVE
Statesville, NC 28677
(704) 871-0934
✔ PECOS✔ Accepts Medicare51 mi
Christina Boland, LCSW
Clinical Social Worker
NPI 1043961675
619 SULLIVAN RD
Statesville, NC 28677
(704) 871-0934
✔ PECOS✔ Accepts Medicare51 mi
Bre'anna Williams, LCSW-A
Clinical Social Worker
NPI 1710612916
619 SULLIVAN RD
Statesville, NC 28677
(704) 871-0934
✔ PECOS✔ Accepts Medicare51 mi
Salina Agarwal, MD
Psychiatry
NPI 1467619957
510 N ELAM AVE STE 301
Greensboro, NC 27403
(336) 832-9800
✔ PECOS53 mi
Jadeka Motley Mangrum, PMHNP
Nurse Practitioner
NPI 1407536956
700 WALTER REED DR
Greensboro, NC 27403
(336) 210-5641
✔ PECOS✔ Accepts Medicare53 mi
Jonathan Stoudmire, MD
Psychiatry
NPI 1710959788
3046 SENNA DR SUITE B
Matthews, NC 28105
(704) 841-3886
✔ PECOS96 mi
Lisa Pratt-Winborne, LCMHC
Mental Health Counselor
NPI 1144717679
14125 STEELE CREEK RD
Charlotte, NC 28273
(202) 510-8846
✔ PECOS100 mi
Katrina Sessler, PMHNP-BC
Nurse Practitioner
NPI 1558199539
3608 UNIVERSITY DR STE 101
Durham, NC 27707
(919) 433-0170
✔ PECOS100 mi
Vinay Saranga, M.D.
Psychiatry
NPI 1144428673
1600 OLIVE CHAPEL RD STE 108A
Apex, NC 27502
(800) 732-9822
✔ PECOS✔ Accepts Medicare110 mi
Alison Voyer
Clinical Social Worker
NPI 1447659321
3801 LAKE BOONE TRL STE 100
Raleigh, NC 27607
(919) 865-8824
✔ PECOS✔ Accepts Medicare118 mi
Alexia Maneschi, PSY.D.
Clinical Psychologist
NPI 1417000381
3801 LAKE BOONE TRL 300
Raleigh, NC 27607
(919) 784-9182
✔ PECOS118 mi
Sally Dixon, LCMHC-A
Mental Health Counselor
NPI 1841910957
5000 FALLS OF NEUSE RD STE 300
Raleigh, NC 27609
(919) 865-8710
✔ PECOS✔ Accepts Medicare121 mi
See all 71 clinicians

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 Easter Seals Ucp Nc & VA, Inc's NPI number?

The NPI number for Easter Seals Ucp Nc & VA, Inc is 1194887695. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is Easter Seals Ucp Nc & VA, Inc located?

Easter Seals Ucp Nc & VA, Inc is located at 414 W Lebanon St, Mount Airy, NC 27030. The listed phone number is (336) 786-7079.

What is Easter Seals Ucp Nc & VA, Inc's specialty?

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

Is Easter Seals Ucp Nc & VA, Inc enrolled in Medicare?

Yes. Easter Seals Ucp Nc & VA, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Easter Seals Ucp Nc & VA, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 8 Medicare specialties reassign their Medicare billing to Easter Seals Ucp Nc & VA, Inc. 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 Clinical Social Worker (25), Mental Health Counselor (18) and Nurse Practitioner (13). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Easter Seals Ucp Nc & VA, Inc was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.