Active NPI
Brandi Onesha Perry, LCSWA
- Clinical Social Worker
- Louisburg, NC
National Provider Identifier
1730800780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P018211
- Practice address
- 403 E Nash St Unit B
Louisburg, NC 27549-2461 - Phone
- (252) 477-0008
- Fax
- (252) 303-0321
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P018211 | NC | Primary |
Addresses
Primary practice location
403 E Nash St Unit B
Louisburg, NC 27549-2461
Mailing address
PO Box 98
Louisburg, NC 27549-0098
Phone (252) 477-0008
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cp.integritysupport.com/default/?ReturnUrl=%2f | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| P018211 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At-Home Counseling Services, Inc. | Clinical | Current | Accepting new patients |
| Soul Restoration Counseling Services PLLC | Clinical | Past | Accepting new patients |
Locations
403 E Nash St
Unit B
Louisburg, NC 27549
Phone (252) 477-0008
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.
-
- Clinical Social Worker
- Knightdale, NC
- NPI 1043843790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1730800780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275490098",
"telephone_number": "252-477-0008",
"fax_number": "252-303-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E NASH ST UNIT B",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492461",
"telephone_number": "252-477-0008",
"fax_number": "252-303-0321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "BRANDI",
"middle_name": "ONESHA",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P018211",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cp.integritysupport.com/default/?ReturnUrl=%2f",
"affiliation": "N",
"endpointDescription": "CheckPoint",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "403 E Nash St Unit B",
"city": "Louisburg",
"state": "NC",
"country_code": "US",
"postal_code": "275492461",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.