| Cpic | |
|
1255 Creekshire Way Suite 270 Winston Salem NC 27103-3059 | |
| (954) 658-9768 | |
| Not Available |
| Full Name | Cpic |
|---|---|
| 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 |
|---|---|
| Cpic 1255 Creekshire Way Suite 270 Winston Salem NC 27103-3059 Ph: (336) 701-3111 | Cpic 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 | 01/26/2021 |
| Certification Date | 01/26/2021 |
| 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 |
| 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 | Kathryn P Johanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902141013 PECOS PAC ID: 2860792199 Enrollment ID: I20151118001703 |
| Provider Name | Melissa K Griswold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073069662 PECOS PAC ID: 2365796356 Enrollment ID: I20181109001076 |
| 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 | 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 | Beverly Everett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801259122 PECOS PAC ID: 6608212949 Enrollment ID: I20240308003699 |
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