Individual provider Active NPI

Brooke Lachance, LCMHC, NCC

  • Mental Health Counselor
  • Denver, NC
National Provider Identifier
1639655566
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13995 Issued in NC
Practice address
7490 Waterside Crossing Blvd Ste 2a
Denver, NC 28037-3004
Phone
(704) 360-3637
Fax
(704) 625-9789
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13995 NC Primary

Addresses

Primary practice location

7490 Waterside Crossing Blvd Ste 2a
Denver, NC 28037-3004

Mailing address

7490 Waterside Crossing Blvd Ste 2a
Denver, NC 28037-3004
Phone (704) 360-3637

Other practice location 1

10430 Harris Oak Blvd Ste L
Charlotte, NC 28269-7513
Phone (704) 360-3637

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
I20240122004395 NC Practitioner - Mental Health Counselor 0648622969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians

Practice addresses (Care Compare)

3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637

7490 Waterside Crossing Blvd
Suite 2a
Denver, NC 28037-3004
Phone (704) 360-3637

9525 Birkdale Crossing Dr
Suite 300
Huntersville, NC 28078-8459
Phone (704) 360-3637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13995NCMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Emotional Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: integrativewellnesssolutions.brookelachance@146232.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1639655566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 WATERSIDE CROSSING BLVD STE 2A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280373004",
            "telephone_number": "704-360-3637",
            "fax_number": "704-625-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 WATERSIDE CROSSING BLVD STE 2A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280373004",
            "telephone_number": "704-360-3637",
            "fax_number": "704-625-9789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10430 Harris Oak Blvd Ste L",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282697513",
            "country_code": "US",
            "telephone_number": "704-360-3637",
            "fax_number": "704-200-9829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACHANCE",
        "first_name": "BROOKE",
        "credential": "LCMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.