ULTIMATE SACRIFICE
NPI 1568050573
Counselor - Mental Health in Winston Salem, NC

Active since January 05, 2021
2290 PREMIER PARK LN, WINSTON SALEM, NC 27105(336) 254-5796 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2023, Oct 21, 2022, Sep 7, 2022 and 1 more (4 updates tracked since 2021).

About Ultimate Sacrifice NPPES

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

ULTIMATE SACRIFICE (NPI 1568050573) is a healthcare organization registered as a mental health in Winston Salem, North Carolina and active in the NPI registry since January 2021. The organization lists Jasmine Tiara Hoyle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568050573
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameULTIMATE SACRIFICE
Location Address2290 PREMIER PARK LNWinston Salem, NC 27105-6306
Mailing Address200 Greensboro RdHigh Point, NC 27260-3456 · (336) 875-4172
Organization SubpartNo
Authorized OfficialJasmine Tiara HoyleCeo · (336) 254-5796
Enumeration DateJanuary 5, 2021
Last NPPES UpdateAugust 16, 20234 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1568050573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedTransportation Network CompanyTaxonomy 342000000X
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X
2290 PREMIER PARK LN, Winston Salem, NC 27105

Other Identifiers 1

Medicaid99999NC

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Counselor (Addiction (Substance Use Disorder))
2290 PREMIER PARK LN
WINSTON SALEM, NC 27105
Community/Behavioral Health
2290 PREMIER PARK LN
WINSTON SALEM, NC 27105
Case Management
2290 PREMIER PARK LN, SUITE B
WINSTON SALEM, NC 27105

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 Ultimate Sacrifice's NPI number?

The NPI number for Ultimate Sacrifice is 1568050573. It was assigned to this organization in the NPPES registry on January 5, 2021.

Where is Ultimate Sacrifice located?

Ultimate Sacrifice is located at 2290 Premier Park Ln, Winston Salem, NC 27105. The listed phone number is (336) 254-5796.

What is Ultimate Sacrifice's specialty?

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

What insurance does Ultimate Sacrifice accept?

Health plans from Blue Cross and Blue Shield of NC list Ultimate Sacrifice 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 Ultimate Sacrifice was last updated on August 16, 2023. 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.