Individual provider Active NPI

Brittany Renee Kai, LPCC, LCMHC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1083060040
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S14658 Issued in NC
Practice address
4829 McKinnon Farm Rd
Fayetteville, NC 28304-8918
Phone
(910) 370-1522
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1087 SC
Mental Health Counselor 101YM0800X E.1800779 OH
Mental Health Counselor 101YM0800X S14658 NC Primary

Addresses

Primary practice location

4829 McKinnon Farm Rd
Fayetteville, NC 28304-8918

Mailing address

5075 Morganton Rd Ste 10C #1437
Fayetteville, NC 28314
Phone (910) 370-1522

Other identifiers 1

IdentifierTypeStateIssuer
332968MedicaidOH

Other names 1

  • Ms. Brittany Renee Komos Former name

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
I20250220003660 NC Practitioner - Mental Health Counselor 5799214250 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1800779OHMDMental Health Counselor
1087SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kai Reproductive Counseling PLLC Mental Health CurrentSince Nov 12, 2024 Accepting new patients
Healing Minds Therapeutic Services, PLLC Professional PastSince Jul 1, 2022 Accepting new patients

Locations

5075 Morganton Rd
Ste 10C
Fayetteville, NC 28314
Phone (910) 302-8320

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1083060040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 MORGANTON RD STE 10C #1437",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28314",
            "telephone_number": "910-370-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 MCKINNON FARM RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283048918",
            "telephone_number": "910-370-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAI",
        "first_name": "BRITTANY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "1087",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1800779",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S14658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332968",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "KOMOS",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.