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NC MENTOR
NPI 1629113311
Community/Behavioral Health in Winston Salem, NC

Active since February 20, 2007
1400 OLD MILL CIR, SUITE B, WINSTON SALEM, NC 27103(919) 790-8580(919) 790-8065 Get Directions Write a Review

NPPES record last updated: March 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nc Mentor NPPES

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

NC MENTOR (NPI 1629113311) is a healthcare organization registered as a community/behavioral health in Winston Salem, North Carolina and active in the NPI registry since February 2007. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1629113311
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNATIONAL MENTOR HEALTHCARE, LLC
Location Address1400 OLD MILL CIR, SUITE BWinston Salem, NC 27103-2977
Mailing Address313 Congress StBoston, MA 02210-1218 · (800) 388-5150 · Fax (617) 790-4271
Phone(919) 790-8580
Fax(919) 790-8065
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateFebruary 20, 2007
Last NPPES UpdateMarch 12, 2023
NPPES CertifiedMarch 12, 2023
✔ NPI 1629113311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
1400 OLD MILL CIR, Winston Salem, NC 27103
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Other Names 1

Doing Business AsNc Mentor

Other Identifiers 1

Medicaid8300268NC

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.

MAGNOLIA CENTER FOR COUNSELING AND EATING RECOVERY
Clinic/Center (Mental Health (Including Community Mental Health Center))
1400 OLD MILL CIR, SUITE B
WINSTON SALEM, NC 27103
Forsyth County (336) 407-4636
METASPACE COUNSELING PLLC
Social Worker (Clinical)
1400 OLD MILL CIR
WINSTON SALEM, NC 27103
Forsyth County (336) 997-0408

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 National Mentor Healthcare, LLC's NPI number?

The NPI number for National Mentor Healthcare, LLC is 1629113311. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Nc Mentor.

Where is National Mentor Healthcare, LLC located?

National Mentor Healthcare, LLC is located at 1400 Old Mill Cir Suite B, Winston Salem, NC 27103. The listed phone number is (919) 790-8580.

What is National Mentor Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for National Mentor Healthcare, LLC was last updated on March 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.