Active NPI
Brittany Michelle Atwater, MS, LCMHC-A, CRC
- Professional Counselor
- Winston Salem, NC
National Provider Identifier
1558078378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A18191
- Practice address
- 4224 Meredith Woods LN
Winston Salem, NC 27107-6969 - Phone
- (828) 449-6250
- NPI assigned
- Nov 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A18191 | NC | Primary |
Addresses
Primary practice location
4224 Meredith Woods LN
Winston Salem, NC 27107-6969
Mailing address
284 Executive Park Dr Ste 110
Concord, NC 28025-1834
Phone (704) 237-4240
Other names 1
- Brittany Michelle Atwater
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2530 Meridian Pkwy
FL 3
Durham, NC 27713-5272
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A18191 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind PC | Professional | Current | Accepting new patients |
Locations
2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316
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": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1558078378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR STE 110",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251834",
"telephone_number": "704-237-4240",
"fax_number": "704-547-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 MEREDITH WOODS LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271076969",
"telephone_number": "828-449-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWATER",
"first_name": "BRITTANY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "MS, LCMHC-A, CRC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A18191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "ATWATER",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.