Brooke Leigh Butler

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18658 Issued in NC

Practice address

3921 Meadow LN
Yadkinville, NC 27055-5845

Phone

(336) 661-5824

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1356824643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 MEADOW LN",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270555845",
            "telephone_number": "336-661-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 MEADOW LN",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270555845",
            "telephone_number": "336-661-5824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Robert Brown Dr",
            "address_purpose": "LOCATION",
            "city": "East Bend",
            "state": "NC",
            "postal_code": "270188686",
            "country_code": "US",
            "telephone_number": "336-661-5824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "BROOKE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cynthia Brown Stiltner, NCC, LCAS-A, LCMHCA
• Hope Bryant
• Kayla Gentry Bullard, MSW, LCSWA
• Wanda J Burger, LPC
• Jong Koo Byun, DDS
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Hospital)
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Hosptial Professional Staff)
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Physcians)
• Cah Acquisition Company 10 LLC (Yadkin Valley Community Hospital)

• Mental Health Counselor in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.