Active NPI
Kusanya Amice Brooks, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Supply, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5022307
- Practice address
- 6 Doctors Cir Ste 1
Supply, NC 28462-6358 - Phone
- (910) 754-4233
- NPI assigned
- Apr 3, 2012
- Last updated
- Jul 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5022307 | NC | Primary |
| Registered Nurse | 163W00000X | 648549 | NY |
Addresses
Primary practice location
6 Doctors Cir Ste 1
Supply, NC 28462-6358
Mailing address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145
Other practice location 1
1806 S 15th St
Wilmington, NC 28401-6479
Phone (910) 772-2515
Other practice location 2
1496 Hwy 701 N
Elizabethtown, NC 28412
Phone (910) 202-3155
Other practice location 3
309 Progress Dr
Burgaw, NC 28425-3280
Phone (910) 259-0668
Other practice location 4
1414 Medical Center Dr
Wilmington, NC 28401-7505
Phone (910) 790-9949
Other practice location 5
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 648549 | NY | MD | Registered Nurse |
| 5022307 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Horizons Center, Inc | Current | Accepting new patients | |
| Coastal Horizons Center Inc | Current | Accepting new patients | |
| Coastal Horizons Center, Inc. | Current | Accepting new patients | |
| County of Monroe | Past | Accepting new patients | |
| Monroe County Health Department | Past | Accepting new patients |
Locations
309 Progress Dr
Burgaw, NC 28425
Phone (910) 259-0445
120 Coastal Horizons Dr
Shallotte, NC 28470
Phone (910) 754-4515
1414 Medical Center Dr
Wilmington, NC 28401
Phone (910) 763-7363
1806 S 15th St
Wilmington, NC 28401
Phone (252) 243-4450
615 Shipyard Blvd
Wilmington, NC 28412
Phone (910) 202-5709
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1922022607
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- Community/Behavioral Health Agency
- Rocky Point, NC
- NPI 1063082592
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1033420153
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1790985448
-
dba Monroe County Department of Public Health Clinics
- Public Health or Welfare Agency
- Rochester, NY
- NPI 1447393632
-
- Radiology Clinic/Center
- Rochester, NY
- NPI 1629419973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1427314566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 DOCTORS CIR STE 1",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284626358",
"telephone_number": "910-754-4233"
}
],
"practiceLocations": [
{
"address_1": "1806 S 15th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016479",
"country_code": "US",
"telephone_number": "910-772-2515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1496 Hwy 701 N",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "NC",
"postal_code": "28412",
"country_code": "US",
"telephone_number": "910-202-3155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 Progress Dr",
"address_purpose": "LOCATION",
"city": "Burgaw",
"state": "NC",
"postal_code": "284253280",
"country_code": "US",
"telephone_number": "910-259-0668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1414 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017505",
"country_code": "US",
"telephone_number": "910-790-9949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 Shipyard Blvd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284126431",
"country_code": "US",
"telephone_number": "910-343-0145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "KUSANYA",
"middle_name": "AMICE",
"name_prefix": "Ms.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2025-07-22",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5022307",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "648549",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Supply, NC
- Bio-Medical Applications of North Carolina, Inc. (FMC Brunswick County)
- Bowman Place
- Brandon E. Devito, DDS, PLLC (Brunswick Family Dentistry)
- Mikeisha Brannock, RDN
- Tonya Renee Brock, BSW, DS
- Benjamin Bryan Browning, MD
- Hannah Jo Browning
- Brunswick Cardiology (Brunswick Cardiology,PC)
- Brunswick Community College Interagency Program
- Brunswick Foot & Ankle Surgery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.