Active NPI
Nicole Brito, LCMHCA
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1265296339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A19617
- Practice address
- 700 East Blvd Ste 1
Charlotte, NC 28203-5156 - Phone
- (704) 980-3082
- NPI assigned
- Feb 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A19617 | NC | Primary |
Addresses
Primary practice location
700 East Blvd Ste 1
Charlotte, NC 28203-5156
Mailing address
700 East Blvd Ste 1
Charlotte, NC 28203-5156
Phone (704) 980-3082
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
| License | State | Type | Specialty |
|---|---|---|---|
| A19617 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caladrius Therapy, PLLC | Mental Health | Current | Accepting new patients |
Locations
700 East Blvd
Ste 1
Charlotte, NC 28203
Phone (704) 980-3082
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": "1707436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1265296339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 EAST BLVD STE 1",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035156",
"telephone_number": "704-980-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 EAST BLVD STE 1",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035156",
"telephone_number": "704-980-3082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITO",
"first_name": "NICOLE",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-09",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A19617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.