Individual provider Active NPI

Brandon Lowe, PHD LPC LCAS CSOTP

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1073937447
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 11263 Issued in NC
Practice address
1922 S Martin Luther King Jr Dr Ste 225
Winston Salem, NC 27107-1361
Phone
(336) 464-3136
Fax
(336) 734-6917
NPI assigned
Feb 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 20339 NC
Mental Health Counselor 101YM0800X LPC 11263 NC Primary

Addresses

Primary practice location

1922 S Martin Luther King Jr Dr Ste 225
Winston Salem, NC 27107-1361

Mailing address

1922 S Martin Luther King Jr Dr Ste 225
Winston Salem, NC 27107-1361
Phone (336) 464-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002003328 NC Practitioner - Mental Health Counselor 7517463052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCAS 20339NCMDAddiction (Substance Use Disorder) Counselor
LPC 11263NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Knew Era Consulting PLLC Addiction (Substance Use Disorder) CurrentSince Aug 28, 2021 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 5, 2025 Accepting new patients

Locations

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

1922 S Martin Luther King Jr Dr
Ste 225
Winston Salem, NC 27107
Phone (336) 464-3136

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": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1073937447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 S MARTIN LUTHER KING JR DR STE 225",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071361",
            "telephone_number": "336-464-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 S MARTIN LUTHER KING JR DR STE 225",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071361",
            "telephone_number": "336-464-3136",
            "fax_number": "336-734-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "PHD LPC LCAS CSOTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS 20339",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LPC 11263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.