Active NPI
Khristine Lynn Brewington, LCAS, CCS
- Addiction (Substance Use Disorder) Counselor
- Greenville, NC
National Provider Identifier
1770628588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 873
- Practice address
- 2245 Stantonsburg Rd
Suite O
Greenville, NC 27834-2868 - Phone
- (252) 752-0483
- Fax
- (252) 757-3172
- NPI assigned
- Feb 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 355 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 873 | NC | Primary |
Addresses
Primary practice location
2245 Stantonsburg Rd
Suite O
Greenville, NC 27834-2868
Mailing address
2245 Stantonsburg Rd
Suite P
Greenville, NC 27834-2868
Phone (252) 752-0483
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197013 | Other | NC | MEDCOST |
| 145P8 | Other | NC | BCBSNC |
| 6111938 | Medicaid | NC |
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 |
|---|---|---|---|
| 355 | NC | MD | Counselor |
| 873 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1770628588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 STANTONSBURG RD",
"address_2": "SUITE P",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342868",
"telephone_number": "252-752-0483",
"fax_number": "252-752-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 STANTONSBURG RD",
"address_2": "SUITE O",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342868",
"telephone_number": "252-752-0483",
"fax_number": "252-757-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWINGTON",
"first_name": "KHRISTINE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LCAS, CCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "355",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "197013",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "145P8",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6111938",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.