Brittany Marie Proxmire, MA, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18616 Issued in NC

Practice address

1365 Westgate Center Dr Ste L1
Winston Salem, NC 27103-3106

Phone

(336) 448-4451

NPI assigned

May 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Banyan Tree Counseling PLLC

  • Counselor
  • Winston Salem, NC
  • NPI 1720619968

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1619669751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N HIDDENBROOKE DR",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR STE L1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033106",
            "telephone_number": "336-448-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROXMIRE",
        "first_name": "BRITTANY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA, LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Proulx, M.D.
• Hannah Kathleen Proulx, PA
• Delaney Elisabeth Provenza, PA
• John Michael Provenza, MD
• Provision Home Care Agency, LLC
• Jaron Kai Pruett, MD
• Jean F Pruett, LPC
• Gina Dombalis Pruitt, MA, CCC-SLP
• Kelly Sheppard Pruitt, LCMHC
• Zachary David Pruitt, MD

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

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