Individual provider Active NPI

Brandy Kathryn Redmile Stephens, MA, LCMHC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1598968679
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5033 Issued in NC
Practice address
6000 Fairview Rd Ste 1200
Charlotte, NC 28210-2252
Phone
(704) 336-0256
Fax
(704) 336-0244
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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 5033 NC
Professional Counselor 101YP2500X 5033 NC Primary

Addresses

Primary practice location

6000 Fairview Rd Ste 1200
Charlotte, NC 28210-2252

Mailing address

6000 Fairview Rd Ste 1200
Charlotte, NC 28210-2252
Phone (704) 336-0256

Other practice location 1

604 Lancaster Ave
Monroe, NC 28112-5902
Phone (704) 226-1352

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5033NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
United Family Services Past Accepting new patients

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1598968679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 FAIRVIEW RD STE 1200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102252",
            "telephone_number": "704-336-0256",
            "fax_number": "704-336-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FAIRVIEW RD STE 1200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102252",
            "telephone_number": "704-336-0256",
            "fax_number": "704-336-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125902",
            "country_code": "US",
            "telephone_number": "704-226-1352",
            "fax_number": "704-282-9362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BRANDY",
        "middle_name": "KATHRYN REDMILE",
        "name_prefix": "Mrs.",
        "credential": "MA, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5033",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.