Active NPI
Janice Pepper O'Bryant, M.S,. LPA, LPC
- Mental Health Counselor
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2945
- Practice address
- 5710 Oleander Dr Ste 112
Wilmington, NC 28403-4722 - Phone
- (910) 769-1785
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Community/Behavioral Health Agency
- Greenville, NC
- NPI 1760420186
Mental Health, NC
-
- Community/Behavioral Health Agency
- Jacksonville, NC
- NPI 1821136581
Mental Health
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pride in North Carolina LLC
Practice addresses (Care Compare)
5710 Oleander Dr
Suite 112
Wilmington, NC 28403-4722
Phone (910) 769-1785
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207001350 | NC | Practitioner - Mental Health Counselor | 6103180070 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2945 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pride in North Carolina, LLC | Mental Health | Current | Accepting new patients |
| Pride in North Carolina, LLC | Mental Health | Current | Accepting new patients |
Locations
231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080
2902 N Herritage St
#A
Kinston, NC 28501
Phone (252) 520-6740
5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2945 | NC | |
| Mental Health Counselor | 101YM0800X | 2945 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5710 Oleander Dr Ste 112
Wilmington, NC 28403-4722
Mailing address
1302 Old Lamplighter Way
Wilmington, NC 28403-3430
Phone (910) 313-1776
Other practice location 1
1606 Wellington Ave Unit C
Community Support Professionals,LLC
Wilmington, NC 28401-7704
Phone (910) 799-4505 ext. 228
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2945 | Other | NC | LPC LICENSE |
| 2121 | Other | NC | LICENSED PSYCHOLOGICAL AS |
| 6107047 | Medicaid | NC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2022.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1508985482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 OLD LAMPLIGHTER WAY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284033430",
"telephone_number": "910-313-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 OLEANDER DR STE 112",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034722",
"telephone_number": "910-769-1785"
}
],
"practiceLocations": [
{
"address_1": "1606 Wellington Ave Unit C",
"address_2": "Community Support Professionals,LLC",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017704",
"country_code": "US",
"telephone_number": "910-799-4505 x228",
"fax_number": "910-799-4345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BRYANT",
"first_name": "JANICE",
"middle_name": "PEPPER",
"name_prefix": "Mrs.",
"credential": "M.S,. LPA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "2945",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "2945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSE",
"identifier": "2945",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHOLOGICAL AS",
"identifier": "2121",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107047",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.