Brian O Landis, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17355 Issued in NC

Practice address

542 Williamson Rd Ste 4
Mooresville, NC 28117-9138

Phone

(704) 467-3389

NPI assigned

Feb 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Newpath Counseling and Consulting, PLLC

  • Counselor
  • Mooresville, NC
  • NPI 1932725884
  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1073269650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 E WARFIELD DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281158055",
            "telephone_number": "704-467-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 WILLIAMSON RD STE 4",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179138",
            "telephone_number": "704-467-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "BRIAN",
        "middle_name": "O",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Norman Urology PLLC
• Lakeshore Speech and Language Therapy, PLLC
• Lakeshore Women'S Specialist, PC
• Lakeshore Women'S Specialist, PC
• Lakeside Surgical Associates, PA
• Britney Leigh Landis, PA-C
• Landrum, Inc. (Visiting Angels of Mooresville)
• Landrum, Inc. (Visiting Angels of Mooresville)
• Cassandra Lang, PHARMD
• Holden Langdon, D.M.D.

• Mental Health Counselor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.