Individual provider Active NPI

Stephanie Lee Carter

  • Mental Health Counselor
  • Jacksonville, NC
National Provider Identifier
1336862986
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18701 Issued in NC
Practice address
216 Brynn Marr Rd # 179
Jacksonville, NC 28546-5705
Phone
(305) 303-8775
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18701 NC Primary

Addresses

Primary practice location

216 Brynn Marr Rd # 179
Jacksonville, NC 28546-5705

Mailing address

216 Brynn Marr Rd # 179
Jacksonville, NC 28546-5705
Phone (305) 303-8775

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

LicenseStateTypeSpecialty
18701NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Bright Counseling PLLC Current Accepting new patients

Locations

216 Brynn Marr Rd
Jacksonville, NC 28546
Phone (305) 303-8775

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1336862986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 BRYNN MARR RD # 179",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465705",
            "telephone_number": "305-303-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 BRYNN MARR RD # 179",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465705",
            "telephone_number": "305-303-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.