Brain Spot PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BRAIN SPOT PLLC

Practice address

1939 Tate Blvd SE
Hickory, NC 28602-1430

Phone

(828) 475-2407

NPI assigned

Dec 8, 2023

Last updated

Mar 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth DoyleNPI 1003411026

Title

Owner

Phone

(828) 423-3356

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Doyle, M.A., LCMHC, NCC

  • Mental Health Counselor
  • Morganton, NC
  • NPI 1003411026
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1912774993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021430",
            "telephone_number": "828-475-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021430",
            "telephone_number": "828-475-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN SPOT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-423-3356"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Wayne Boyles, M.D.
• Stephen Bracewell, MD
• Stefania Bradford, PHARM.D.
• Linda Kathleen Bradshaw, MA, LPC, NCC
• Peter H Bradshaw, M.D.
• Branches of Hickory Healthcare PLLC
• Michaela Brandell, MSW, LSW
• Austin Brandt, DNP, CRNA
• David W. Branyon, MD
• Julie Brasch, MA, LMFT

• Mental Health Counselor in Hickory, NC
• Providers in Hickory, 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 Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.