Individual provider Active NPI

Brittany Michelle Atwater, MS, LCMHC-A, CRC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1558078378
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A18191 Issued in NC
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

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313002477 NC Practitioner - Mental Health Counselor 7315469830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Sondermind PCGroup PAC ID 0547795791, 64 clinicians

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

LicenseStateTypeSpecialty
A18191NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Professional CurrentSince Feb 27, 2025 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

Verify at the official NPI Registry.