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KINGSBERRY COUNSELING SERVICES, PLLC
NPI 1255877296
Counselor - Mental Health in Winston Salem, NC

Active since January 14, 2017
421 PAIGEBROOK DR, WINSTON SALEM, NC 27106(336) 575-5948 Get Directions Write a Review

NPPES record last updated: January 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kingsberry Counseling Services, Pllc NPPES

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

KINGSBERRY COUNSELING SERVICES, PLLC (NPI 1255877296) is a healthcare organization registered as a mental health in Winston Salem, North Carolina and active in the NPI registry since January 2017. The organization lists John Travis Thacker, Owner, as its authorized official.

NPPES Registry Identity

NPI1255877296
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameKINGSBERRY COUNSELING SERVICES, PLLC
Location Address421 PAIGEBROOK DRWinston Salem, NC 27106-8744
Mailing AddressPo Box 30312Winston Salem, NC 27130-0312 · (336) 575-5948
Phone(336) 575-5948
Organization SubpartNo
Authorized OfficialJohn Travis ThackerOwner · (336) 575-5948
Enumeration DateJanuary 14, 2017
✔ NPI 1255877296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 9455
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20293 (NC)
Also ListedRehabilitation CounselorTaxonomy 225C00000X · License 00115237 (NC)
421 PAIGEBROOK DR, Winston Salem, NC 27106
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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

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 Kingsberry Counseling Services, PLLC's NPI number?

The NPI number for Kingsberry Counseling Services, PLLC is 1255877296. It was assigned to this organization in the NPPES registry on January 14, 2017.

Where is Kingsberry Counseling Services, PLLC located?

Kingsberry Counseling Services, PLLC is located at 421 Paigebrook Dr, Winston Salem, NC 27106. The listed phone number is (336) 575-5948.

What is Kingsberry Counseling Services, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kingsberry Counseling Services, PLLC was last updated on January 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.