Individual provider Active NPI

Brittney Jean Rouse, M.A.ED, LCMHCA, NCC

  • Professional Counselor
  • Supply, NC
National Provider Identifier
1588428486
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A19649 Issued in NC
Practice address
6 Doctors Cir Ste 1
Supply, NC 28462-6358
Phone
(910) 754-4233
NPI assigned
Feb 12, 2024
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A19649 NC
Professional Counselor 101YP2500X A19649 NC Primary

Addresses

Primary practice location

6 Doctors Cir Ste 1
Supply, NC 28462-6358

Mailing address

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 622-7489

Other practice location 1

110 Premiere Plz
Whiteville, NC 28472-2522
Phone (910) 524-8183

Other practice location 2

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 622-7489

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

State licenses

LicenseStateTypeSpecialty
A19649NCMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1588428486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126431",
            "telephone_number": "910-622-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DOCTORS CIR STE 1",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284626358",
            "telephone_number": "910-754-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Premiere Plz",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284722522",
            "country_code": "US",
            "telephone_number": "910-524-8183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Shipyard Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284126431",
            "country_code": "US",
            "telephone_number": "910-622-7489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "BRITTNEY",
        "middle_name": "JEAN",
        "credential": "M.A.ED, LCMHCA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19649",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A19649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.