Active NPI
Sherri Ann Brinskelle, MSW, LCSW,LMSW
- Mental Health Counselor
- Kannapolis, NC
National Provider Identifier
1508952102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW125016
- Practice address
- 608 McCombs Ave
Kannapolis, NC 28083-3605 - Phone
- (704) 933-0007
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P018338 | NC | |
| Mental Health Counselor | 101YM0800X | 069571-1 | NY | |
| Mental Health Counselor | 101YM0800X | SW125016 | PA | Primary |
Addresses
Primary practice location
608 McCombs Ave
Kannapolis, NC 28083-3605
Mailing address
686 Big Indian Loop
Mooresville, NC 28117-9047
Phone (704) 775-0461
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016495020001 | Medicaid | PA | |
| 02290137 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P018338 | NC | MD | Mental Health Counselor |
| 069571-1 | NY | MD | Mental Health Counselor |
| SW125016 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCombs Counseling & Consulting, Inc | Current | Accepting new patients |
Locations
608 McCombs Ave
Kannapolis, NC 28083
Phone (704) 933-0007
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 and National Provider Directory roles.
-
- Counselor
- Kannapolis, NC
- NPI 1053378885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1508952102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 BIG INDIAN LOOP",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179047",
"telephone_number": "704-775-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 MCCOMBS AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280833605",
"telephone_number": "704-933-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINSKELLE",
"first_name": "SHERRI ANN",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW,LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "P018338",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "069571-1",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "SW125016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016495020001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02290137",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.