Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prof. Nina Ellerbe Stanback

Individual provider Mental Health Counselor · NPI 1053981845

Prof. Nina Ellerbe Stanback is a Mental Health Counselor in Rockingham, North Carolina. Qualified in 2019, 7 years ago. Practices with Mcpc-11 LLC, a 30-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2021
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Practice location Address checks out

144 Jenkins Covington Rd
Rockingham, NC 28379-7388
Phone: (910) 206-5865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A16446 (NC)

Record details

NPI number1053981845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2021
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address144 Jenkins Covington Rd, Rockingham, NC 28379-7388

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice McPc-11 Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockingham