Individual provider Active NPI

Casey Nicole Brasfield, MS, LMHCA

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1942955018
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A17182 Issued in NC
Practice address
121 Reynolda VLG Ste a
Winston Salem, NC 27106-5126
Phone
(336) 893-9018
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A17182 NC Primary

Addresses

Primary practice location

121 Reynolda VLG Ste a
Winston Salem, NC 27106-5126

Mailing address

1016 Willowbrook Dr
Greensboro, NC 27403-2058
Phone (765) 881-3834

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A17182NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Illumii Mental Health CurrentSince Feb 24, 2022 Accepting new patients

Locations

121 Reynolda Vlg
Ste A
Winston Salem, NC 27106
Phone (336) 403-0866

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1942955018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 WILLOWBROOK DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274032058",
            "telephone_number": "765-881-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 REYNOLDA VLG STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065126",
            "telephone_number": "336-893-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASFIELD",
        "first_name": "CASEY",
        "middle_name": "NICOLE",
        "credential": "MS, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.