Individual provider Active NPI

Bree Thompson, LCMHC, LCAS

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1306332879
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16868 Issued in NC
Practice address
8535 Cliff Cameron Dr Ste 100
Charlotte, NC 28269-5909
Phone
(704) 717-7477
Fax
(704) 717-7457
NPI assigned
Jul 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16868 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26990 NC

Addresses

Primary practice location

8535 Cliff Cameron Dr Ste 100
Charlotte, NC 28269-5909

Mailing address

673 Nannyberry LN
Concord, NC 28025-9003
Phone (704) 701-5189

Other practice location 1

10400 Mallard Creek Rd Ste 208
Charlotte, NC 28262-5207
Phone (704) 405-8890

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
I20250417000372 NC Practitioner - Mental Health Counselor 0941725444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
A16868NCMDProfessional Counselor
26990NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Adolescent Care, Inc CurrentSince Oct 15, 2024 Accepting new patients
Empowerment Quality Care Services, LLC PastSince Dec 1, 2020 Accepting new patients
West Counseling Professional PastSince Jun 13, 2024 Accepting new patients
Carolina Pediatric Eye Specialists, PLLC PastSince Jan 20, 2009 Accepting new patients

Locations

1945 J N Pease Pl
Ste 102
Charlotte, NC 28262
Phone (704) 405-8890

Organizations & group practices 4

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": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1306332879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 NANNYBERRY LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280259003",
            "telephone_number": "704-701-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 CLIFF CAMERON DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695909",
            "telephone_number": "704-717-7477",
            "fax_number": "704-717-7457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Mallard Creek Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282625207",
            "country_code": "US",
            "telephone_number": "704-405-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BREE",
        "credential": "LCMHC, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-07",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "16868",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "26990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.