Individual provider Active NPI

Brandon Ray Able, NCCPSS

  • Peer Specialist
  • Maysville, NC
National Provider Identifier
1922989441
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
2024-11326-01 Issued in NC
Practice address
206 Fifth St
Maysville, NC 28555-8043
Phone
(910) 467-6565
NPI assigned
Sep 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 2024-11326-01 NC Primary

Addresses

Primary practice location

206 Fifth St
Maysville, NC 28555-8043

Mailing address

206 Fifth St
Maysville, NC 28555-8043
Phone (910) 467-6565

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
2024-11326-01NCMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1922989441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 FIFTH ST",
            "city": "MAYSVILLE",
            "state": "NC",
            "postal_code": "285558043",
            "telephone_number": "910-467-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 FIFTH ST",
            "city": "MAYSVILLE",
            "state": "NC",
            "postal_code": "285558043",
            "telephone_number": "910-467-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLE",
        "first_name": "BRANDON",
        "middle_name": "RAY",
        "credential": "NCCPSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NC",
            "license": "2024-11326-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.