Individual provider Active NPI

Amia Briscoe, LCMHCS

  • Professional Counselor
  • Shelby, NC
National Provider Identifier
1255753281
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S9869 Issued in NC
Practice address
213 Patton Dr Ste a
Shelby, NC 28150-4696
Phone
(704) 466-3022
Fax
(844) 272-6196
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9869 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS25928 NC
Professional Counselor 101YP2500X S9869 NC Primary
Mental Health Counselor 101YM0800X A9869 NC
Mental Health Counselor 101YM0800X S9869 NC

Addresses

Primary practice location

213 Patton Dr Ste a
Shelby, NC 28150-4696

Mailing address

213 Patton Dr Ste a
Shelby, NC 28150-4696
Phone (704) 466-8909

Other identifiers 1

IdentifierTypeStateIssuer
1255753281MedicaidNC

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
I20251106004993 NC Practitioner - Mental Health Counselor 7810487931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

213 Patton Dr
Suite a
Shelby, NC 28150-4696
Phone (704) 466-3022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9869NCMDMental Health Counselor
A9869NCMDMental Health Counselor
S9869NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Healing Solutions, Inc. Mental Health CurrentSince Aug 10, 2025 Accepting new patients

Locations

213 Patton Dr
Ste A
Shelby, NC 28150
Phone (704) 466-3022

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.

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    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1255753281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 PATTON DR STE A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504696",
            "telephone_number": "704-466-8909",
            "fax_number": "844-272-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PATTON DR STE A",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504696",
            "telephone_number": "704-466-3022",
            "fax_number": "844-272-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "AMIA",
        "credential": "LCMHCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9869",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS25928",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S9869",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A9869",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S9869",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255753281",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.