Individual provider Active NPI

Brianne Hawkins, LCMHC, LCAS-A

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1053863829
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12527 Issued in NC
Practice address
3331 Healy Drive
Unit 25661
Winston Salem, NC 27114
Phone
(336) 422-9515
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS23124 NC
Professional Counselor 101YP2500X A12527 NC
Professional Counselor 101YP2500X 12527 NC
Mental Health Counselor 101YM0800X 12527 NC Primary

Addresses

Primary practice location

3331 Healy Drive
Unit 25661
Winston Salem, NC 27114

Mailing address

PO Box 25661
Winston Salem, NC 27114-5661

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
LCAS23124NCMDAddiction (Substance Use Disorder) Counselor
12527NCMDProfessional Counselor
A12527NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Novel Me Counseling and Consultation, PLLC Addiction (Substance Use Disorder) CurrentSince May 16, 2021 Accepting new patients
Daymark Recovery Servcies Inc Addiction (Substance Use Disorder) Past Accepting new patients

Locations

3331 Healy Dr
Unit 25661
Winston Salem, NC 27114
Phone (336) 422-9515

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1053863829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25661",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271145661",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 HEALY DRIVE",
            "address_2": "UNIT 25661",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27114",
            "telephone_number": "336-422-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "BRIANNE",
        "credential": "LCMHC, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2021-02-15",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS23124",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12527",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12527",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.