Individual provider Active NPI

Brandi Onesha Perry, LCSWA

  • Clinical Social Worker
  • Louisburg, NC
National Provider Identifier
1730800780
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P018211 Issued in NC
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

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
P018211NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
At-Home Counseling Services, Inc. Clinical CurrentSince Sep 11, 2022 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.

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.

Verify at the official NPI Registry.