Brittany Nichole Bodwell, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11364 Issued in NC

Practice address

138 S Cherry St Ste 400
Winston Salem, NC 27101-5271

Phone

(336) 892-9061

Fax

(336) 899-0170

NPI assigned

Jan 26, 2015

Sex

Female

Sole proprietor

No

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

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lotus Wisdom Counseling Services, PLLC

  • Counselor
  • Winston Salem, NC
  • NPI 1811599475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1679963805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S CHERRY ST STE 400",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015271",
            "telephone_number": "336-892-9061",
            "fax_number": "336-899-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S CHERRY ST STE 400",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015271",
            "telephone_number": "336-892-9061",
            "fax_number": "336-899-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODWELL",
        "first_name": "BRITTANY",
        "middle_name": "NICHOLE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel C Bobbitt
• Mackenzie Boccardo
• Allyson Bodamer, MS OTR/L
• Kenneth Edward Bodek, M.D.
• Jason Kristopher Bodner, PA-C
• George Michael Bodziock, M.D.
• Benjamin Joseph Boehnlein, CRNA
• Amy Boes, DPT
• Amy Lyn Bofenkamp, AMY
• Terrence Dale Bogard, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.