Stephanie Nichol Briscoe, MA LCMHCS NCC CTMH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10549 Issued in NC

Practice address

5663 Hammermill Dr
Harrisburg, NC 28075-3933

Phone

(980) 859-3331

Fax

(888) 730-1933

NPI assigned

Jan 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

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.

• Mirror 2 the Heart, PLLC

  • Mental Health Counselor
  • Harrisburg, NC
  • NPI 1548615917
  NPD Authorized official

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1689097701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 SCHOOL HOUSE CMNS # 178",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757510",
            "telephone_number": "980-859-3331",
            "fax_number": "888-730-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5663 HAMMERMILL DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280753933",
            "telephone_number": "980-859-3331",
            "fax_number": "888-730-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "STEPHANIE",
        "middle_name": "NICHOL",
        "credential": "MA LCMHCS NCC CTMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10549",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7645",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689097701",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Rabbit Logistics & Solutions LLC
• Tyeekia Blue, MSW, LCSWA
• Crystal Michelle Boggs, FNP
• Jennifer Bourbonnais, MED, RD, LDN
• Julia Kihm Bregenzer, MD
• Fredericka Brooks, FNP
• Linda Brown, LCSWA
• Taylor Marie Brown
• Cabarrus Memorial Hospital
• Carillon Assisted Living of Harrisburg

• Professional Counselor in Harrisburg, NC
• Providers in Harrisburg, 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 Dec 1, 2021; 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.