Individual provider Active NPI

Jerry Brooks Dye Jr.

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1457824633
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16361 Issued in NC
Practice address
15801 Brixham Hill Ave Ste 475
Charlotte, NC 28277-0878
Phone
(704) 251-9084
Fax
(877) 513-7720
NPI assigned
Jan 9, 2019
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9829 SC
Mental Health Counselor 101YM0800X 16361 NC Primary

Addresses

Primary practice location

15801 Brixham Hill Ave Ste 475
Charlotte, NC 28277-0878

Mailing address

15801 Brixham Hill Ave Ste 475
Charlotte, NC 28277-0878
Phone (704) 251-9084

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260320001335 NC Practitioner - Mental Health Counselor 1759865470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15801 Brixham Hill Ave
Suite 475
Charlotte, NC 28277-0746

15801 Brixham Hill Ave
Suite 475
Charlotte, NC 28277-0878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16361NCMDMental Health Counselor
9829SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Carolinas PLLC Mental Health CurrentSince Dec 7, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Locations

15801 Brixham Hill Ave
Ste 475
Charlotte, NC 28277
Phone (704) 251-9084

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1457824633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15801 BRIXHAM HILL AVE STE 475",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770878",
            "telephone_number": "704-251-9084",
            "fax_number": "877-513-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15801 BRIXHAM HILL AVE STE 475",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770878",
            "telephone_number": "704-251-9084",
            "fax_number": "877-513-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "JERRY",
        "middle_name": "BROOKS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-09",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9829",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "16361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.