Brittany Adisa, MA, LCMHCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S8298 Issued in NC

Practice address

708 S Chestnut St
Gastonia, NC 28054-4548

Phone

(704) 865-3525

NPI assigned

Aug 31, 2012

Last updated

Feb 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindful Movements, PLLC

  • Community/Behavioral Health Agency
  • Matthews, NC
  • NPI 1205392099

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676764800000",
    "number": "1912256223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 SUMMERFIELD RIDGE LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S CHESTNUT ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544548",
            "telephone_number": "704-865-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADISA",
        "first_name": "BRITTANY",
        "credential": "MA, LCMHCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2023-02-19",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S8298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Adcock, PHARM.D.
• Elizabeth Q Addo, REGISTERED NURSE
• Joseph Olatunde Adedokun, LCAS
• Elisa Adelphin, PT
• Amanda Havill Adgate, MA, LMHC, LCMHC
• Kacie Marie Adkins, M.S., CCC-SLP
• Lidia Sanda Adkins
• Adoration Home Health Care Virginia LLC (Adoration Home Health)
• Adore Her LLC (Gracious Hearts Home Care)
• Christiana Adugyamfi, RN

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, 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 Feb 19, 2023; 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.