Individual provider Active NPI

Whitney Tashae Alston-Brown, LCMHC-A LCAS-A

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1093483539
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A17204 Issued in NC
Practice address
6026 Six Forks Rd
Raleigh, NC 27609-3899
Phone
(919) 865-8710
Fax
(919) 977-9760
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-27004 NC
Mental Health Counselor 101YM0800X 1550994 NC
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X A17204 NC Primary

Addresses

Primary practice location

6026 Six Forks Rd
Raleigh, NC 27609-3899

Mailing address

6026 Six Forks Rd
Raleigh, NC 27609-3899
Phone (919) 865-8710

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-27004NCMDAddiction (Substance Use Disorder) Counselor
1550994NCMDMental Health Counselor
A17204NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1093483539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6026 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093899",
            "telephone_number": "919-865-8710",
            "fax_number": "919-977-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093899",
            "telephone_number": "919-865-8710",
            "fax_number": "919-977-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTON-BROWN",
        "first_name": "WHITNEY",
        "middle_name": "TASHAE",
        "credential": "LCMHC-A LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-27004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "1550994",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.