KINGSBERRY COUNSELING SERVICES PLLC NPI 1255877296

NPI Information

  • NPI: 1255877296
  • Provider Name: KINGSBERRY COUNSELING SERVICES, PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 421 PAIGEBROOK DR
    WINSTON SALEM, NC
    ZIP 27106
  • Phone: (336) 575-5948

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NPI Details

KINGSBERRY COUNSELING SERVICES, PLLC is a mental health counselor in Winston Salem, NC. KINGSBERRY COUNSELING SERVICES, PLLC NPI is 1255877296. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

421 PAIGEBROOK DR
WINSTON SALEM, NC
ZIP 27106-744
Phone: (336) 575-5948

The provider's authorized official is John Travis Thacker .
The authorized official title is Owner and has the following contact phone number (336) 575-5948.

The enumeration date for this NPI number is 1/14/2017 and was last updated on 1/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)20293NORTH CAROLINANo
2101YM0800XCounselorMental Health9455NORTH CAROLINAYes
3225C00000XRehabilitation Counselor00115237NORTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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