KERNERSVILLE COUNSELING CENTER PLLC
NPI 1669836136
Community/Behavioral Health in Kernersville, NC
NPI Status: Active since April 11, 2016
Contact Information
210 N MAIN ST STE 210
KERNERSVILLE, NC
ZIP 27284
Phone: (336) 283-3830
Fax: (336) 283-3827
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 34D2023502
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 06-05-2026
About KERNERSVILLE COUNSELING CENTER PLLC
This page provides the complete NPI Profile along with additional information for Kernersville Counseling Center Pllc, a provider established in Kernersville, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1669836136 assigned on April 2016. The practitioner's primary taxonomy code is 251S00000X with license number 10258 (NC). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Laura Brotherton Lcmhcs (Owner)
- NPI
- 1669836136
- Provider Name
- KERNERSVILLE COUNSELING CENTER PLLC
- Entity Type
- Organization
- Location Address
- 210 N MAIN ST STE 210 KERNERSVILLE, NC 27284
- Location Phone
- (336) 283-3830
- Location Fax
- (336) 283-3827
- Mailing Address
- 210 N MAIN ST STE 210 KERNERSVILLE, NC 27284
- Mailing Phone
- (336) 283-3830
- Mailing Fax
- (336) 283-3827
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-11-2016
- Last Update Date
- 08-22-2022
- Code Navigator
Location Map
Secondary Locations
- 1180 N Main St
Kernersville, NC 27284
(336) 283-3830 - 125 Allen St
Kernersville, NC 27284
(336) 283-3830
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 10258
- License State
- NC
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 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 Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Bronze Standard | with Novant Health - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
- Blue Home Gold Standard | with Novant Health - EPO
- Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Silver Standard | with Novant Health - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2023502
- Facility Type
- Hospital
- Certificate Effective Date
- June 06, 2024
- Certificate Expiration Date
- June 05, 2026
- Laboratory Director
- DR. FARHAN AHMED
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Kernersville Counseling Center Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 8 | 3 | 6 | 1 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 3 | 12 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 3 + 1 + 2 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1669836136 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306516000 | ADRIANNA LEIGH FRAZIER LCSW Individual | Social Worker (Clinical) | 210 N MAIN ST STE 210 KERNERSVILLE, NC 27284 (336) 238-3830 |
| 1467893958 | LAURA BROTHERTON LCMHCS Individual | Counselor (Mental Health) | 210 N MAIN ST STE 210 KERNERSVILLE, NC 27284 (336) 283-3830 |
| 1184452260 | AMELIA BRITT LCMHCA Individual | Counselor (Mental Health) | 210 N MAIN ST STE 210 KERNERSVILLE, NC 27284 (336) 283-3830 |
| 1225871270 | MISS GWENNETH GARNER LCSW-A Individual | Social Worker (Clinical) | 210 N MAIN ST STE 210 KERNERSVILLE, NC 27284 (336) 283-3830 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669836136, enumerated in the NPI registry as an "organization" on April 11, 2016
The provider is located at 210 N Main St Ste 210 Kernersville, Nc 27284 and the phone number is (336) 283-3830
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 34D2023502 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on April 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.