Individual provider Active NPI

Karlie Braswell Walston, LCMHC, LCAS, CSI

  • Mental Health Counselor
  • Macclesfield, NC
National Provider Identifier
1053062729
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17224 Issued in NC
Practice address
29 Wallace LN
Macclesfield, NC 27852-9152
Phone
(252) 567-9495
NPI assigned
Jan 14, 2022
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-27757 NC
Mental Health Counselor 101YM0800X 17224 NC Primary

Addresses

Primary practice location

29 Wallace LN
Macclesfield, NC 27852-9152

Mailing address

29 Wallace LN
Macclesfield, NC 27852-9152
Phone (252) 567-9495

Other names 1

  • Karlie Drew Braswell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-27757NCMDAddiction (Substance Use Disorder) Counselor
17224NCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
At-Home Counseling Services, Inc. Addiction (Substance Use Disorder) PastSince Jun 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1053062729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WALLACE LN",
            "city": "MACCLESFIELD",
            "state": "NC",
            "postal_code": "278529152",
            "telephone_number": "252-567-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WALLACE LN",
            "city": "MACCLESFIELD",
            "state": "NC",
            "postal_code": "278529152",
            "telephone_number": "252-567-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSTON",
        "first_name": "KARLIE",
        "middle_name": "BRASWELL",
        "name_prefix": "Mrs.",
        "credential": "LCMHC, LCAS, CSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-27757",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLIE",
            "last_name": "BRASWELL",
            "middle_name": "DREW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macclesfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.