CHRISTI SAMANTHA BRUNSON NPI 1629475009

NPI Information

  • NPI: 1629475009
  • Provider Name: CHRISTI SAMANTHA BRUNSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6135 PARK SOUTH DR STE 105
    CHARLOTTE, NC
    ZIP 28210
  • Phone: (704) 810-2700

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NPI Details

Christi Samantha Brunson is a mental health counselor in Charlotte, NC with 12 years of experience. Christi Samantha Brunson NPI is 1629475009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6135 PARK SOUTH DR STE 105
CHARLOTTE, NC
ZIP 28210-272
Phone: (704) 810-2700

The NPI 1629475009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/1/2014 and was last updated on 8/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health10969NORTH CAROLINAYes
2101YP2500XCounselorProfessional10969NORTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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