Individual provider Active NPI

Sherri Ann Brinskelle, MSW, LCSW,LMSW

  • Mental Health Counselor
  • Kannapolis, NC
National Provider Identifier
1508952102
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW125016 Issued in PA
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

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1016495020001MedicaidPA
02290137MedicaidNY

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
P018338NCMDMental Health Counselor
069571-1NYMDMental Health Counselor
SW125016PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McCombs Counseling & Consulting, Inc CurrentSince Jan 1, 2025 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.

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.

Verify at the official NPI Registry.