Active NPI
Konsealed Life Solutions LLC
- Community/Behavioral Health Agency
- Raeford, NC
National Provider Identifier
1568396653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- KONSEALED LIFE SOLUTIONS LLC
- Practice address
- 1052 Johnson St
Raeford, NC 28376-2022 - Phone
- (910) 305-1998
- NPI assigned
- Jun 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenni Marie Brooks, CPSS
- Title
- Owner
- Phone
- (910) 305-1998
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1052 Johnson St
Raeford, NC 28376-2022
Mailing address
1052 Johnson St
Raeford, NC 28376-2022
Phone (910) 305-1998
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Peer Specialist
- Raeford, NC
- NPI 1760316855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781136000000",
"number": "1568396653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1052 JOHNSON ST",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283762022",
"telephone_number": "910-305-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 JOHNSON ST",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283762022",
"telephone_number": "910-305-1998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KONSEALED LIFE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-11",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "JENNI",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-305-1998",
"authorized_official_credential": "CPSS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.