Active NPI
Sydney Ellesse Kauffman, LCMHC-A
- Mental Health Counselor
- Salisbury, NC
National Provider Identifier
1639983109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A20686
- Practice address
- 1933 Jake Alexander Blvd W Ste 102
Salisbury, NC 28147-1157 - Phone
- (704) 762-0074
- NPI assigned
- Feb 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A20686 | NC | Primary |
Addresses
Primary practice location
1933 Jake Alexander Blvd W Ste 102
Salisbury, NC 28147-1157
Mailing address
2728 Wingdale Dr
Charlotte, NC 28213-5269
Phone (251) 424-7768
Other names 1
- Sydney Ellesse Sain
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
| License | State | Type | Specialty |
|---|---|---|---|
| A20686 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Days Counseling Services | Mental Health | Current | Accepting new patients |
Locations
1933 Jake Alexander Blvd W
Ste 102
Salisbury, NC 28147
Phone (704) 762-0074
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.
-
- Community/Behavioral Health Agency
- Salisbury, NC
- NPI 1366938292
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1639983109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 WINGDALE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282135269",
"telephone_number": "251-424-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 JAKE ALEXANDER BLVD W STE 102",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281471157",
"telephone_number": "704-762-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFFMAN",
"first_name": "SYDNEY",
"middle_name": "ELLESSE",
"credential": "LCMHC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-05",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A20686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SYDNEY",
"last_name": "SAIN",
"middle_name": "ELLESSE",
"credential": "LCMHC-A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.