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JAMESETTER LUESINDER CREDELL LPC
NPI 1790914000
Counselor - Mental Health in Winston Salem, NC

Active since July 08, 2009PECOS EnrolledAccepts Medicare Assignment
2668 PETERS CREEK PKWY, WINSTON SALEM, NC 27127(336) 200-7020 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2024, Apr 25, 2017 (2 updates tracked since 2017).

About Jamesetter Luesinder Credell Lpc NPPES

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

JAMESETTER LUESINDER CREDELL LPC (NPI 1790914000) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (8217) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1790914000
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAMESETTER LUESINDER CREDELLCredential: LPC
Location Address2668 PETERS CREEK PKWYWinston Salem, NC 27127-5655
Mailing AddressPo Box 746724Atlanta, GA 30374-6724 · (312) 733-9730
Phone(336) 200-7020
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 8, 2009
Last NPPES UpdateOctober 18, 20242 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
✔ NPI 1790914000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 8217
2668 PETERS CREEK PKWY, Winston Salem, NC 27127
Open in Google Maps ↗

Other Identifiers 1

Medicaid6104989NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jamesetter Luesinder Credell Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951833433
PECOS Enrollment IDI20241022003655
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

ASHLEY MONROE CAMPBELL NP-C
Nurse Practitioner
2668 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Forsyth County (336) 200-7020
BARBARA JEAN CALKINS BAKER FNP
Nurse Practitioner
2668 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Forsyth County (336) 200-7020
DR. KESI TABIA KINDLE-SUERSIN MD
Internal Medicine (Geriatric Medicine)
2668 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Forsyth County (336) 200-7020
MRS. LATARA K CRADDOCK FNP-BC
Nurse Practitioner (Family)
2668 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Forsyth County (336) 200-7020
MISS ELIZABETH DAVIDSON FNP
Nurse Practitioner (Family)
2668 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Forsyth County (469) 257-3500

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 Jamesetter Credell's NPI number?

The NPI number for Jamesetter Credell is 1790914000. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Jamesetter Credell located?

Jamesetter Credell practices at 2668 Peters Creek Pkwy, Winston Salem, NC 27127. The listed phone number is (336) 200-7020.

What is Jamesetter Credell's specialty?

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

Is Jamesetter Credell enrolled in Medicare?

Yes. Jamesetter Credell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jamesetter Credell accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jamesetter Credell 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 Jamesetter Credell was last updated on October 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.