| Certus Psychiatry And Integrated Care Pllc | |
|
1255 Creekshire Way Suite 270 Winston Salem NC 27103-3059 | |
| (954) 658-9768 | |
| Not Available |
| Full Name | Certus Psychiatry And Integrated Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1255 Creekshire Way, Winston Salem, North Carolina |
| Authorized Official Name and Position | Gisela Kohl (PRESIDENT) |
| Authorized Official Contact | 9546589768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Certus Psychiatry And Integrated Care Pllc 1255 Creekshire Way Suite 270 Winston Salem NC 27103-3059 Ph: (336) 701-3111 | Certus Psychiatry And Integrated Care Pllc 1255 Creekshire Way Suite 270 Winston Salem NC 27103-3059 Ph: (954) 658-9768 |
| NPI Number | 1609317569 |
|---|---|
| Provider Enumeration Date | 03/12/2017 |
| Last Update Date | 04/11/2025 |
| Certification Date | 04/11/2025 |
| Medicare PECOS PAC ID | 0244506756 |
|---|---|
| Medicare Enrollment ID | O20171030000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609317569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 200900831 (North Carolina) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Vicky G Surratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154406411 PECOS PAC ID: 5890774368 Enrollment ID: I20040717000355 |
| Provider Name | Gisela E Knebl Kohl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922217306 PECOS PAC ID: 8224176342 Enrollment ID: I20091110000804 |
| Provider Name | Aruna C Hulme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952618332 PECOS PAC ID: 3375716996 Enrollment ID: I20111026000966 |
| Provider Name | Rachel Butts Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861937922 PECOS PAC ID: 8628318235 Enrollment ID: I20190319000283 |
| Provider Name | Amy Bowden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003276742 PECOS PAC ID: 4385070978 Enrollment ID: I20200129002762 |
| Provider Name | Amy C Bilicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134787955 PECOS PAC ID: 9830525310 Enrollment ID: I20200131000281 |
| Provider Name | Susan Schleith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760017826 PECOS PAC ID: 7113357773 Enrollment ID: I20200422001121 |
| Provider Name | Wendy Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023209996 PECOS PAC ID: 0446681001 Enrollment ID: I20200514001539 |
| Provider Name | Elena Mcginty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386281533 PECOS PAC ID: 1850794124 Enrollment ID: I20210723001636 |
| Provider Name | Rachael Michelle Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235786518 PECOS PAC ID: 7113318551 Enrollment ID: I20211220001533 |
| Provider Name | Lisa C Carr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013579689 PECOS PAC ID: 4688041999 Enrollment ID: I20221028002752 |
| Provider Name | Amy Jo Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073297727 PECOS PAC ID: 4587018270 Enrollment ID: I20230928003625 |
| Provider Name | Lisa Marie Marie Law |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508025925 PECOS PAC ID: 3072949031 Enrollment ID: I20240205002927 |
| Provider Name | Erin Tagge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023433125 PECOS PAC ID: 4688018591 Enrollment ID: I20240220000440 |
| Provider Name | Beverly Everett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801259122 PECOS PAC ID: 6608212949 Enrollment ID: I20240308003699 |
| Provider Name | William Edward Golding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144006438 PECOS PAC ID: 0648718361 Enrollment ID: I20240813002475 |
| Provider Name | Samirah Abdurraheem Furbee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689411183 PECOS PAC ID: 2860929460 Enrollment ID: I20241220000829 |
| Provider Name | Robert James Hodges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689317679 PECOS PAC ID: 0547786808 Enrollment ID: I20250429003126 |
Disability Advocacy And Information Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8064 N Point Blvd, Suite 102, Winston Salem, NC 27106 Phone: 336-896-0900 Fax: 336-896-0901 | |
Lyfes New Direction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 S Marshall St # 65, Winston Salem, NC 27101 Phone: 336-721-4261 Fax: 336-721-4265 | |
Evolve Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 897 Peters Creek Pkwy Ste 101, Winston Salem, NC 27103 Phone: 336-725-9135 Fax: 336-725-9139 | |
Pinnacle Family Services Of North Carolina Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 University Pkwy, Ste 101, Winston Salem, NC 27106 Phone: 336-397-1560 | |
Managing Overwhelming Moments, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 Stafford Place Cir Apt 103, Winston Salem, NC 27127 Phone: 919-218-6286 | |
Alexander Youth Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8025 N Point Blvd Ste 260, Winston Salem, NC 27106 Phone: 336-724-1412 Fax: 336-724-1464 | |
Daymark Recovery Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Highland Ave, Winston Salem, NC 27101 Phone: 336-657-8523 Fax: 336-723-0645 |