Individual provider Active NPI

Laura Brotherton, LCMHCS

  • Mental Health Counselor
  • Kernersville, NC
National Provider Identifier
1467893958
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10258 Issued in NC
Practice address
210 N Main St Ste 210
Kernersville, NC 27284-4003
Phone
(336) 283-3830
Fax
(336) 283-3827
NPI assigned
Jul 11, 2013
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 10258 NC Primary

Addresses

Primary practice location

210 N Main St Ste 210
Kernersville, NC 27284-4003

Mailing address

210 N Main St Ste 210
Kernersville, NC 27284-4003
Phone (336) 283-3830

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
I20251217004195 NC Practitioner - Mental Health Counselor 0446744544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 N Main St
Kernersville, NC 27284-4004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10258NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kernersville Counseling Center PLLC CurrentSince Oct 13, 2025 Accepting new patients

Locations

210 N Main St
Ste 210
Kernersville, NC 27284
Phone (336) 238-3830

Organizations & group practices 1

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1467893958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST STE 210",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272844003",
            "telephone_number": "336-283-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST STE 210",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272844003",
            "telephone_number": "336-283-3830",
            "fax_number": "336-283-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERTON",
        "first_name": "LAURA",
        "credential": "LCMHCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.