GENEVIEVE STAFFORD LCMHCA
NPI 1245840099
Counselor - Mental Health in Kernersville, NC

Active since August 06, 2020PECOS Enrolled
1180 N MAIN ST, KERNERSVILLE, NC 27284(336) 283-3830 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2022, Aug 6, 2020 (2 updates tracked since 2020).

About Genevieve Stafford Lcmhca NPPES

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

GENEVIEVE STAFFORD LCMHCA (NPI 1245840099) is an individual mental health provider in Kernersville, North Carolina, licensed in North Carolina (A15750) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winston Salem, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245840099
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGENEVIEVE STAFFORDCredential: LCMHCA
Location Address1180 N MAIN STKernersville, NC 27284-9856
Mailing Address3617 N Elm St Apt 3nGreensboro, NC 27455-2864 · (845) 522-2647
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 6, 2020
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1245840099 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 · A15750
1180 N MAIN ST, Kernersville, NC 27284

Secondary Practice Location 1

Location 1510 Northgate Park DrWinston Salem, NC 27106-3486 · Phone (888) 446-7301

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genevieve Stafford Lcmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628546280
PECOS Enrollment IDI20260501003036
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 Genevieve Stafford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
210 N MAIN ST STE 210
Kernersville, NC 27284
  • Reassigned Medicare billing, North Carolina enrollment
  • 7 clinicians in this Medicare group

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.

Counselor (Mental Health)
1180 N MAIN ST
KERNERSVILLE, NC 27284
Counselor (Mental Health)
1180 N MAIN ST
KERNERSVILLE, NC 27284

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 Genevieve Stafford's NPI number?

The NPI number for Genevieve Stafford is 1245840099. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Genevieve Stafford located?

Genevieve Stafford practices at 1180 N Main St, Kernersville, NC 27284. The listed phone number is (336) 283-3830.

What is Genevieve Stafford's specialty?

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

Is Genevieve Stafford enrolled in Medicare?

Yes. Genevieve Stafford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Genevieve Stafford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Genevieve Stafford reassigns Medicare benefits to Kernersville Counseling Center PLLC (Kernersville, 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 Genevieve Stafford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Genevieve Stafford accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Genevieve Stafford 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 Genevieve Stafford was last updated on August 29, 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.