Individual provider Active NPI

Carolyn Thompson Brockmann, MED, LPC, NC-LCAS,

  • Addiction (Substance Use Disorder) Counselor
  • High Point, NC
National Provider Identifier
1699855585
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
33 Issued in NC
Practice address
2240 Setliff Dr
High Point, NC 27265-8011
Phone
(336) 454-5502
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 33 NC Primary
Mental Health Counselor 101YM0800X 595 NC

Addresses

Primary practice location

2240 Setliff Dr
High Point, NC 27265-8011

Mailing address

2240 Setliff Dr
High Point, NC 27265-8011
Phone (336) 454-5502

Other identifiers 1

IdentifierTypeStateIssuer
8103026MedicaidNC

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
33NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1699855585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 SETLIFF DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658011",
            "telephone_number": "336-454-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 SETLIFF DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658011",
            "telephone_number": "336-454-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMANN",
        "first_name": "CAROLYN",
        "middle_name": "THOMPSON",
        "name_prefix": "Ms.",
        "credential": "MED, LPC, NC-LCAS,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "33",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8103026",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.