John Brent Idol

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18552 Issued in NC

Practice address

102 Chestnut Dr
High Point, NC 27262-6804

Phone

(336) 886-5594

NPI assigned

Aug 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1801563598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N LAFAYETTE ST # 2",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503898",
            "telephone_number": "704-476-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHESTNUT DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272626804",
            "telephone_number": "336-886-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDOL",
        "first_name": "JOHN",
        "middle_name": "BRENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Timothy Hutchison, MD
• William Neal Hutto, OD
• Rachel Anne Hutton-Orr, PA-C
• Karen T. Hyneck, LCMHC
• Dorrette Jon Ibazebo, D.D.S.
• Kim Weldon Idol, PT
• Benjamin Maduakonam Igwemezie, M.D.
• Shehab Foiz Imam, DO
• Jennifer K Incillo
• Independent Living With Teresa

• Mental Health Counselor in High Point, NC
• Providers in High Point, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.