Individual provider Active NPI

Cassandra L Brown

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1225754872
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A-17069 Issued in NC
Practice address
2430 Reynolda Rd Ste 2
Winston Salem, NC 27106-4626
Phone
(336) 291-7477
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A-17069 NC
Mental Health Counselor 101YM0800X A-17069 NC Primary

Addresses

Primary practice location

2430 Reynolda Rd Ste 2
Winston Salem, NC 27106-4626

Mailing address

2430 Reynolda Rd Ste 2
Winston Salem, NC 27106-4626
Phone (336) 291-7477

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
I20250904004160 NC Practitioner - Mental Health Counselor 8527560051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1250 SE Maynard Rd
Suite 204
Cary, NC 27511-6947

2430 Reynolda Rd
Suite 2
Winston Salem, NC 27106-4626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-17069NCMDMental Health Counselor
17069NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Christian Counseling, PLLC CurrentSince Jun 15, 2025 Accepting new patients

Locations

2430 Reynolda Rd
Ste 2
Winston Salem, NC 27106
Phone (336) 291-7477

2430 Reynolda Rd
Ste B
Winston Salem, NC 27106
Phone (336) 291-7477

Organizations & group practices 1

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1225754872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 REYNOLDA RD STE 2",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064626",
            "telephone_number": "336-291-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 REYNOLDA RD STE 2",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064626",
            "telephone_number": "336-291-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CASSANDRA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A-17069",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A-17069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.