FOOTPRINTS COUNSELING, PLLC (NPI# 1578986717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578986717 |
| Entity Type | Organization |
| Organization Name | FOOTPRINTS COUNSELING, PLLC |
| Practice Address |
3410 Healy Dr Suite 200-a Winston Salem NC 27103-1403 |
| Practice Telephone | 3368938727 |
| Practice Fax Number | 3368938726 |
| Mailing Telephone | 3368938727 |
| Mailing Fax Number | 3368938726 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Authorized Official Name | JOSEPH BRIAN ALEXANDER (OWNER) |
| Authorized Official Telephone | 3368938727 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1184 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6106255 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295254985 | Footprints Counseling, Pllc | Clinic/Center | 393 Garden Ave, Holland, MI 49424-9602 | 2017-09-13 |
| Street Address |
3410 HEALY DR SUITE 200-A |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578549853 | Sean Patrick Nelligan | Social Worker | 3410 Healy Dr, Ste. 202, Winston Salem, NC 27103-1403 | 2005-12-19 |
| 1407367246 | John Daniel Erwin | Massage Therapist | 3410 Healy Dr, Ste 201-a, Winston Salem, NC 27103-1568 | 2017-10-19 |
| 1245694702 | Robin E Dock Phd | Community/Behavioral Health | 3410 Healy Dr, Suite 203, Winston Salem, NC 27103-1403 | 2016-04-11 |
| 1649630997 | New Life Counseling Center, Pllc | Counselor | 3410 Healy Dr, Suite 207, Winston Salem, NC 27103-1403 | 2016-02-29 |
| 1154718278 | Mission Medstaff, LLC | Nursing Care | 3410 Healy Dr, Suite 102, Winston Salem, NC 27103-1403 | 2015-04-16 |
| 1194117739 | Graham Counseling & Associates, LLC | Community/Behavioral Health | 3410 Healy Dr, Suite 117, Winston Salem, NC 27103-1403 | 2015-02-18 |
| 1144652090 | Healthcore Resource, Inc | Community/Behavioral Health | 3410 Healy Dr, Suite 201, Winston Salem, NC 27103-1403 | 2013-08-02 |
| 1013268051 | Reaching Your Goals | Community/Behavioral Health | 3410 Healy Dr, Winston Salem, NC 27103-1403 | 2012-10-01 |
| 1699044321 | Healthcore Reaource | Community/Behavioral Health | 3410 Healy Dr, Ste 201, Winston Salem, NC 27103-1403 | 2011-12-27 |
| 1801163423 | Step Up Pediatric and Adolescent Wellness Center | Counselor | 3410 Healy Dr, Suite 110, Winston Salem, NC 27103-1403 | 2011-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942699814 | Chelsea Victoria Sapp Golden | Marriage & Family Therapist | 3410 Healy Dr Ste 207, Winston Salem, NC 27103-1568 | 2015-01-15 |
| 1174912455 | Judith Ann Pisarro-grant | Marriage & Family Therapist | 3447 Robinhood Rd Ste 312, Winston Salem, NC 27106-4791 | 2015-01-09 |
| 1659794089 | Wayne Bills | Marriage & Family Therapist | 4125 Sewanee Dr, Winston Salem, NC 27106-2030 | 2014-01-21 |
| 1467701052 | Ashley G Levers | Marriage & Family Therapist | 3637 Old Vineyard Road, Winston Salem, NC 27103 | 2012-08-29 |
| 1710251491 | Krystin Karee Henley | Marriage & Family Therapist | 533 Ivy Glen Dr, Winston Salem, NC 27127-4062 | 2012-02-28 |
| 1477832004 | Allison Lee-shaner | Marriage & Family Therapist | 2570 Leighswood Dr, Winston Salem, NC 27106-9822 | 2011-08-14 |
| 1942472022 | Luz L. Garcia | Marriage & Family Therapist | 939 Burke St, Suite F, Winston Salem, NC 27101-2575 | 2008-03-28 |
| 1508072554 | Virginia D. Perry | Marriage & Family Therapist | 2100 Reynolda Rd, Winston Salem, NC 27106-5115 | 2007-05-15 |
| 1104992973 | Stephen Eugene Foss | Marriage & Family Therapist | 2735 Henning Dr Ste A, Winston Salem, NC 27106 | 2006-11-25 |
| 1053968255 | Marysabel Vasquez | Marriage & Family Therapist | 1001 Reynolda Rd, Winston Salem, NC 27104-3245 | 2019-08-22 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| 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.