Individual provider Active NPI

Samantha Eubanks, LCMHC, NCC

  • Mental Health Counselor
  • Apex, NC
National Provider Identifier
1508590902
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A17664 Issued in NC
Practice address
1480 Chapel Ridge Rd Ste 220
Apex, NC 27502-8504
Phone
(919) 355-9792
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 A17664 NC Primary

Addresses

Primary practice location

1480 Chapel Ridge Rd Ste 220
Apex, NC 27502-8504

Mailing address

4012 Old Sturbridge Dr
Apex, NC 27539-9799
Phone (757) 469-1720

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.brinkleybrownmentalwellness.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A17664NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brinkley Brown Mental Wellness PLLC CurrentSince Nov 18, 2024 Accepting new patients
Black Cat Counseling & Wellness, PLLC Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1508590902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 OLD STURBRIDGE DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275399799",
            "telephone_number": "757-469-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 CHAPEL RIDGE RD STE 220",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028504",
            "telephone_number": "919-355-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "SAMANTHA",
        "credential": "LCMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.brinkleybrownmentalwellness.com",
            "affiliation": "N",
            "address_1": "1480 Chapel Ridge Rd Ste 220",
            "city": "Apex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275028504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.