CHERYL DENISE ELLIXSON (NPI# 1073931523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073931523 |
| Entity Type | Individual |
| Full Name | CHERYL DENISE ELLIXSON |
| Credential | LPC |
| Practice Address |
8025 N Point Blvd Ste 209 Winston Salem NC 27106-3296 |
| Mailing Address |
17 Mary Scott Pl Greensboro NC 27410-9735 |
| Practice Telephone | 8007001606 |
| Practice Fax Number | 8663385921 |
| Mailing Telephone | 3368481299 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
10115 | NC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
10115 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8007 N Point Blvd Ste A, Winston Salem, NC 271063268 | 8667001606 | 8663385921 |
| Street Address |
8025 N POINT BLVD STE 209 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-3296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731953 | Rachael Sarah Boyd | Social Worker | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106-3296 | 2019-07-08 |
| 1659838936 | Holly Dawn Whicker | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106-3296 | 2019-02-22 |
| 1669941415 | Pratiksha Desai Martin | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106 | 2018-11-21 |
| 1689192239 | Dominique Lemar Vaughan | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106 | 2017-09-05 |
| 1255881959 | Megan Blair Anderson | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106 | 2016-10-06 |
| 1780030270 | Jenifer Knight Shadrick | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106 | 2016-05-13 |
| 1750736302 | Kadia Remi Warren | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106 | 2016-05-02 |
| 1003216995 | Jeffrey Alan Simms | Counselor | 8025 N Point Blvd Ste 209, Winston Salem, NC 27106-3296 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332476 | Tramaine King | Counselor | 3570 Vest Mill Rd Ste H, Winston Salem, NC 27103-2963 | 2020-10-01 |
| 1285267724 | B Balanced Counseling & Wellness, Pllc | Counselor | 939 Burke St Ste F, Winston Salem, NC 27101-2575 | 2020-02-12 |
| 1306482674 | Allison Grace Alford | Counselor | 8007 N Point Blvd Ste 209, Winston Salem, NC 27106-3268 | 2019-11-21 |
| 1609417468 | The Well Mind, Pllc | Counselor | 213 W 6th St Ste 6, Winston Salem, NC 27101-2901 | 2019-10-03 |
| 1619455797 | Nancy Stacy Hodges | Counselor | 1959 N Peace Haven Rd, Winston Salem, NC 27106-4850 | 2018-08-01 |
| 1326526732 | Anna Kathleen Fleig | Counselor | 983 Mar Don Dr, Winston Salem, NC 27104-4624 | 2018-07-30 |
| 1710478441 | Narissa D Huntley | Counselor | 1396 Old Mill Cir Ste 206, Winston Salem, NC 27103-2957 | 2018-05-29 |
| 1174022966 | Patrick Sal Ide | Counselor | 1922 S Martin Luther King Jr Dr Ste 255, Winston Salem, NC 27107-1361 | 2018-02-07 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1275070179 | Helen Humphrey | Counselor | 104 Cambridge Plaza Dr, Winston Salem, NC 27104-3556 | 2017-01-30 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
Please comment or provide details below to improve the information on CHERYL DENISE ELLIXSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.