Individual provider Active NPI

Christi Samantha Brunson

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1629475009
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10969 Issued in NC
Practice address
6135 Park South Dr Ste 105
Charlotte, NC 28210-3272
Phone
(704) 810-2700
NPI assigned
Dec 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 10969 NC Primary
Professional Counselor 101YP2500X 10969 NC

Addresses

Primary practice location

6135 Park South Dr Ste 105
Charlotte, NC 28210-3272

Mailing address

1303 Greensboro Street Ext
Lexington, NC 27295-1924
Phone (336) 249-0237

Other practice location 1

284 Executive Park Dr
Suite 200
Concord, NC 28025
Phone (704) 939-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014002998 NC Practitioner - Mental Health Counselor 5395277453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apogee Behavioral Medicine PCGroup PAC ID 6204218357, 64 clinicians

Practice addresses (Care Compare)

445 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-5166
Phone (336) 967-6596

6135 Park S Dr
Suite 105
Charlotte, NC 28210-3272
Phone (704) 810-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10969NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Behavioral Health NC LLC CurrentSince Aug 15, 2024 Accepting new patients
Rha Behavioral Health NC LLC Current Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Aug 15, 2024 Accepting new patients
Apogee Behavioral Medicine PC CurrentSince Aug 8, 2025 Accepting new patients
Family Services of Davidson County, Inc PastSince Apr 26, 2016 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

3315 Springbank Ln
Ste 304
Charlotte, NC 28226
Phone (704) 544-6711

445 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 649-9000

Organizations & group practices 5

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": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1629475009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 GREENSBORO STREET EXT",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272951924",
            "telephone_number": "336-249-0237",
            "fax_number": "336-243-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 PARK SOUTH DR STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103272",
            "telephone_number": "704-810-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "284 Executive Park Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "28025",
            "country_code": "US",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "CHRISTI",
        "middle_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10969",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.