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TRISSTAN JA'VON LUCKETT NCC, LPCA
NPI 1326522434
Counselor - Professional in Winston Salem, NC

Active since September 25, 2018
650 HIGHLAND AVE, WINSTON SALEM, NC 27101(336) 607-8523(336) 773-0916 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trisstan Ja'von Luckett Ncc, Lpca NPPES

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

TRISSTAN JA'VON LUCKETT NCC, LPCA (NPI 1326522434) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (A12893) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1326522434
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTRISSTAN JA'VON LUCKETTCredential: NCC, LPCA
Location Address650 HIGHLAND AVEWinston Salem, NC 27101-4304
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(336) 607-8523
Fax(336) 773-0916
Sole ProprietorNo
Enumeration DateSeptember 25, 2018
✔ NPI 1326522434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A12893
650 HIGHLAND AVE, Winston Salem, NC 27101
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Other Providers at the Same Location NPPES 10

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

MONARCH
Community/Behavioral Health
650 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 725-7527
AMY LEROY MAIN NP
Nurse Practitioner (Psychiatric/Mental Health)
650 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523
CHIQUITA ELLERBE MSW, LCSW-A
Social Worker (Clinical)
650 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523
LANI C SIMPSON LMSW-CC
Social Worker (Clinical)
650 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523
BRITTANY SAVANNAH LITTLE LCSW-A
Social Worker (Clinical)
650 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523
CASEY MEGAN WILLIAMS
Counselor (Addiction (Substance Use Disorder))
650 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523
MARCIA LORELEI PIGGOTT LCMHC
Counselor (Professional)
650 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523
HOLLY ANN MEDEIROS
Licensed Practical Nurse
650 HIGHLAND AVE
WINSTON SALEM, NC 27101
Forsyth County (336) 607-8523

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 Trisstan Luckett's NPI number?

The NPI number for Trisstan Luckett is 1326522434. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Trisstan Luckett located?

Trisstan Luckett practices at 650 Highland Ave, Winston Salem, NC 27101. The listed phone number is (336) 607-8523.

What is Trisstan Luckett's specialty?

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

When was this NPI record last updated?

The NPPES record for Trisstan Luckett was last updated on September 25, 2018. 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.