Garden Village Psychiatric and Counseling Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201644 Issued in NC

Legal business name

GARDEN VILLAGE PSYCHIATRIC AND COUNSELING SERVICES PLLC

Practice address

3703 W Market St Ste a
Greensboro, NC 27403-1300

Phone

(336) 282-1251

Fax

(336) 282-1252

NPI assigned

Oct 16, 2017

Last updated

Sep 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie Camille Oneal Brewington, PMHNP-BCNPI 1912033689

Title

Nurse Practitioner

Phone

(336) 282-1251

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Camille O'Neal Brewington, APRN, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensboro, NC
  • NPI 1912033689
  Authorized official Same address or phone

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1396256426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 W MARKET ST STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031300",
            "telephone_number": "336-282-1251",
            "fax_number": "336-282-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 W MARKET ST STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031300",
            "telephone_number": "336-282-1251",
            "fax_number": "336-282-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN VILLAGE PSYCHIATRIC AND COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "BREWINGTON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "CAMILLE ONEAL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "336-282-1251",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201644",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "201644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912033689",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538183447",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Maria Garcia, MA, LPA, HSP-PA
• Mary Ann H. Garcia, PH.D.
• Naomi Garcia
• Raisa M Garcia
• Robson Rodrigues Garcia, BDS, OMS
• Ashley Martin Gardner, COTA/L
• Cherae Danielle Gardner, RN
• Genesis Clardonia Gardner, MSW, LCSW-A
• Jared Morgan Gardner, DO
• Morgan Ann Gardner, MD

• Psychiatric/Mental Health Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.