Individual provider Active NPI

Brittany Oxendine Jozefowicz, LCMHC

  • Professional Counselor
  • Shallotte, NC
National Provider Identifier
1598207953
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12635 Issued in NC
Practice address
143 Holden Beach Rd SW Ste 3
Shallotte, NC 28470-1918
Phone
(910) 755-5182
Fax
(910) 312-3155
NPI assigned
Nov 16, 2016
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12635 NC
Professional Counselor 101YP2500X A12635 NC
Professional Counselor 101YP2500X 12635 NC Primary

Addresses

Primary practice location

143 Holden Beach Rd SW Ste 3
Shallotte, NC 28470-1918

Mailing address

PO Box 2485
Shallotte, NC 28459-2485
Phone (910) 755-5182

Other identifiers 1

IdentifierTypeStateIssuer
28618MedicaidNC

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
12635NCMDMental Health Counselor
A12635NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open Gate Counseling Services PLLC Mental Health CurrentSince Aug 29, 2021 Accepting new patients
Southeastern Integrated Care Past Accepting new patients

Locations

143 Holden Beach Rd SW
Ste 3
Shallotte, NC 28470
Phone (910) 755-5182

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1598207953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2485",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284592485",
            "telephone_number": "910-755-5182",
            "fax_number": "910-312-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 HOLDEN BEACH RD SW STE 3",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284701918",
            "telephone_number": "910-755-5182",
            "fax_number": "910-312-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOZEFOWICZ",
        "first_name": "BRITTANY",
        "middle_name": "OXENDINE",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12635",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12635",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28618",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.