KINGDOM CREATIVE COUNSELING PLLC
NPI 1700313780
Counselor - Mental Health in Greensboro, NC

Active since May 22, 2017
1050 REVOLUTION MILL DR STE 2, GREENSBORO, NC 27405(336) 543-0159(336) 663-2906 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 18, 2024, Jul 21, 2022, Oct 25, 2018 and 2 more (5 updates tracked since 2017).

  • Organization
  • Counselor
  • Mental Health
  • Accepts Insurance

About KINGDOM CREATIVE COUNSELING PLLC

This page provides the complete NPI Profile along with additional information for Kingdom Creative Counseling Pllc, a provider established in Greensboro, North Carolina operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1700313780 assigned on May 2017. The practitioner's primary taxonomy code is 101YM0800X with license number C007049 (NC). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Samaria M Colbert. The authorized official of this NPI record is Samaria M Colbert Lcsw (Owner)

NPI
1700313780 Verify this NPI
Provider Legal Name
KINGDOM CREATIVE COUNSELING PLLC
Other Organization Name
SAMARIA M COLBERT
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1050 REVOLUTION MILL DR STE 2 GREENSBORO, NC 27405
Location Phone
(336) 543-0159
Location Fax
(336) 663-2906
Mailing Address
PO BOX 14222 GREENSBORO, NC 27415
Mailing Phone
(336) 543-0159
Mailing Fax
(336) 663-2906
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2017
Last Update Date
12-18-2024
Code Navigator

A mental health counselor like Kingdom Creative Counseling Pllc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
C007049
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

C007049 (NC)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMARIA M COLBERT LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(336) 543-0159

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1699077396MEDICAID (05)NC 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700313780, enumerated as an "organization" on May 22, 2017.

The provider is located at 1050 REVOLUTION MILL DR STE 2 GREENSBORO, NC 27405 and the phone number is (336) 543-0159.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to verify.