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KRISTIN VERGO MA, LMFT, LPC, LCMHC
NPI 1508309444
Counselor - Mental Health in Winston-salem, NC

Active since November 26, 2016Opted out of Medicare · through Aug 13, 2027
632 HOLLY AVE NW, WINSTON-SALEM, NC 27101(720) 263-7386 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin Vergo Ma, Lmft, Lpc, Lcmhc NPPES

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

KRISTIN VERGO MA, LMFT, LPC, LCMHC (NPI 1508309444) is an individual mental health provider in Winston-salem, North Carolina and active in the NPI registry since November 2016. She has opted out of Medicare through August 13, 2027.

NPPES Registry Identity

NPI1508309444
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIN VERGOCredential: MA, LMFT, LPC, LCMHC
Location Address632 HOLLY AVE NWWinston-salem, NC 27101
Mailing Address632 Holly Ave NwWinston-salem, NC 27101 · (720) 263-7386
Phone(720) 263-7386
Sole ProprietorNo
Enumeration DateNovember 26, 2016
Last NPPES UpdateFebruary 27, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1508309444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
632 HOLLY AVE NW, Winston-salem, NC 27101
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristin Vergo Ma, Lmft, Lpc, Lcmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 13, 2025 through August 13, 2027.

Opt-Out Effective DateAugust 13, 2025
Opt-Out In Effect ThroughAugust 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Kristin Vergo's NPI number?

The NPI number for Kristin Vergo is 1508309444. It was assigned to this individual provider in the NPPES registry on November 26, 2016.

Where is Kristin Vergo located?

Kristin Vergo practices at 632 Holly Ave NW, Winston-Salem, NC 27101. The listed phone number is (720) 263-7386.

What is Kristin Vergo's specialty?

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

Is Kristin Vergo enrolled in Medicare?

No. Kristin Vergo has opted out of Medicare through August 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristin Vergo was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.