Active NPI
Roberta Denise Brinkley, LCMHC, LCAS-A
- Mental Health Counselor
- Greensboro, NC
National Provider Identifier
1174997811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11985
- Practice address
- 5709 W Friendly Ave Ste a
Greensboro, NC 27410-4112 - Phone
- (336) 986-9787
- Fax
- (336) 232-1516
- NPI assigned
- Nov 18, 2015
- Last updated
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 11985 | NC | |
| Mental Health Counselor | 101YM0800X | 11985 | NC | Primary |
| Professional Counselor | 101YP2500X | 11985 | NC |
Addresses
Primary practice location
5709 W Friendly Ave Ste a
Greensboro, NC 27410-4112
Mailing address
5709 W Friendly Ave Ste a
Greensboro, NC 27410-4112
Phone (252) 955-2354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174997811 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3300 Peninsula Dr
Jamestown, NC 27282-8719
5709 W Friendly Ave
Suite a
Greensboro, NC 27410-4112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11985 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health Cares of NC LLC | Current | Accepting new patients | |
| Triad Family and Childrens Services LLC | Current | Accepting new patients | |
| Provident Health Care LLC | Current | Accepting new patients |
Locations
5709 W Friendly Ave
#A
Greensboro, NC 27410
Phone (252) 955-2354
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1679953418
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1437990884
-
- Community/Behavioral Health Agency
- Greenwood, SC
- NPI 1871334227
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greensboro, NC
- NPI 1366347353
-
- Substance Abuse Rehabilitation Facility
- Greensboro, NC
- NPI 1790689040
-
- Substance Abuse Rehabilitation Facility
- Greensboro, NC
- NPI 1881598134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1174997811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5709 W FRIENDLY AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104112",
"telephone_number": "252-955-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5709 W FRIENDLY AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104112",
"telephone_number": "336-986-9787",
"fax_number": "336-232-1516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKLEY",
"first_name": "ROBERTA",
"middle_name": "DENISE",
"credential": "LCMHC, LCAS-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-18",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "11985",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "11985",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11985",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174997811",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.