Jamesetter Credell, LPC
NPI 1790914000 · Mental Health Counselor · Winston Salem, NC
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jamesetter Credell, LPC is a Mental Health Counselor provider in Winston Salem, NC (NPI 1790914000).
Provider details
- NPI number
- 1790914000
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8217 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-08
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Frequently asked questions
- What is Jamesetter Credell's NPI number?
- Jamesetter Credell's National Provider Identifier (NPI) is 1790914000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jamesetter Credell's specialty?
- Jamesetter Credell is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jamesetter Credell located?
- Jamesetter Credell's practice location on file with NPPES is 2668 Peters Creek Pkwy, Winston Salem, NC 27127-5655.
- What is Jamesetter Credell's phone number?
- The practice phone number listed in the NPPES registry for Jamesetter Credell is (336) 200-7020.
- Does Jamesetter Credell accept Medicare?
- Jamesetter Credell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jamesetter Credell's NPI active?
- Yes — Jamesetter Credell's NPI (1790914000) is active in the NPPES registry as of the last update on 2024-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.