Individual provider Active NPI

Brynna L Arnold, LCMHCA, NCC, CCW

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1386261428
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A15059 Issued in NC
Practice address
5510 Six Forks Rd Ste L125
Raleigh, NC 27609-0034
Phone
(919) 861-4111
Fax
(919) 861-4115
NPI assigned
Jul 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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 A15059 NC Primary

Addresses

Primary practice location

5510 Six Forks Rd Ste L125
Raleigh, NC 27609-0034

Mailing address

5510 Six Forks Rd Ste L125
Raleigh, NC 27609-0034
Phone (919) 861-4111

Other practice location 1

1011 W Williams St Ste 102
Apex, NC 27502-3979
Phone (919) 226-5505

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
A15059NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1386261428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 SIX FORKS RD STE L125",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090034",
            "telephone_number": "919-861-4111",
            "fax_number": "919-861-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 SIX FORKS RD STE L125",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090034",
            "telephone_number": "919-861-4111",
            "fax_number": "919-861-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 W Williams St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275023979",
            "country_code": "US",
            "telephone_number": "919-226-5505",
            "fax_number": "919-226-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "BRYNNA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCMHCA, NCC, CCW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.