NPIMap

Individual provider Active NPI

Brittney McCorkle

  • Professional Counselor
  • Supply, NC
National Provider Identifier
1972255933
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A20397 Issued in NC
Practice address
610 Ocean Hwy W
Supply, NC 28462-4048
Phone
(910) 253-5885
Fax
(910) 253-5887
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A20397 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 28020 NC

Addresses

Primary practice location

610 Ocean Hwy W
Supply, NC 28462-4048

Mailing address

PO Box 281
Bolivia, NC 28422-0281
Phone (910) 253-5885

Other practice location 1

1107 New Pointe Blvd Ste 19
Leland, NC 28451-4129
Phone (910) 253-5885

Other names 1

  • Brittney Gause Former name

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
28020NCMDAddiction (Substance Use Disorder) Counselor
A20397NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Treatment Centers LLC PastSince Mar 11, 2025 Accepting new patients
Moving Ahead Counseling Services Addiction (Substance Use Disorder) PastSince Sep 28, 2025 Accepting new patients
Treatment Centers LLC PastSince Jan 1, 2022 Accepting new patients

Organizations & group practices 3

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1972255933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284220281",
            "telephone_number": "910-253-5885",
            "fax_number": "910-253-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 OCEAN HWY W",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624048",
            "telephone_number": "910-253-5885",
            "fax_number": "910-253-5887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 New Pointe Blvd Ste 19",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284514129",
            "country_code": "US",
            "telephone_number": "910-253-5885",
            "fax_number": "910-253-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORKLE",
        "first_name": "BRITTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A20397",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "28020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNEY",
            "last_name": "GAUSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Supply, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.