Individual provider Active NPI

Brittainy Rush Reza

  • Counselor
  • Asheboro, NC
National Provider Identifier
1861259285
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A19803 Issued in NC
Practice address
180 Browers Chapel Rd Apt B
Asheboro, NC 27205-7984
Phone
(336) 963-4391
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A19803 NC Primary

Addresses

Primary practice location

180 Browers Chapel Rd Apt B
Asheboro, NC 27205-7984

Mailing address

4966 High Pine Church Rd
Asheboro, NC 27205-1885
Phone (336) 963-0627

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
A19803NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Approach Counseling, PLLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

350 N Cox St
Ste 3
Asheboro, NC 27203
Phone (336) 626-9989

180 Browers Chapel Rd
Apt B
Asheboro, NC 27205
Phone (336) 963-4391

Organizations & group practices 1

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": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1861259285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4966 HIGH PINE CHURCH RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272051885",
            "telephone_number": "336-963-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BROWERS CHAPEL RD APT B",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272057984",
            "telephone_number": "336-963-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZA",
        "first_name": "BRITTAINY",
        "middle_name": "RUSH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A19803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.