CHRISTI SAMANTHA BRUNSON
NPI 1629475009
Counselor - Mental Health in Charlotte, NC

Active since December 01, 2014PECOS EnrolledAccepts Medicare Assignment
6135 PARK SOUTH DR STE 105, CHARLOTTE, NC 28210(704) 810-2700 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2025, Aug 27, 2018 (2 updates tracked since 2018).

About Christi Samantha Brunson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTI SAMANTHA BRUNSON (NPI 1629475009) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (10969) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Concord, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629475009
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHRISTI SAMANTHA BRUNSON
Location Address6135 PARK SOUTH DR STE 105Charlotte, NC 28210-3272
Mailing Address1303 Greensboro Street ExtLexington, NC 27295-1924 · (336) 249-0237 · Fax (336) 243-7685
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 1, 2014
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1629475009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 10969
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 10969 (NC)
6135 PARK SOUTH DR STE 105, Charlotte, NC 28210

Secondary Practice Location 1

Location 1284 Executive Park Dr, Suite 200Concord, NC 28025 · Phone (704) 939-1100 · Fax (704) 939-1173

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christi Samantha Brunson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395277453
PECOS Enrollment IDI20241014002998
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Christi Brunson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
316 IB SHIVES RD
Monroe, NC 28110
  • Reassigned Medicare billing, North Carolina enrollment
  • 90 clinicians in this Medicare group
Psychiatry
445 DOLLEY MADISON RD STE 100
Greensboro, NC 27410
  • Reassigned Medicare billing, North Carolina enrollment
  • 74 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
6135 PARK SOUTH DR STE 105
CHARLOTTE, NC 28210
Social Worker (Clinical)
6135 PARK SOUTH DR STE 105
CHARLOTTE, NC 28210
Marriage & Family Therapist
6135 PARK SOUTH DR STE 105
CHARLOTTE, NC 28210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christi Brunson's NPI number?

The NPI number for Christi Brunson is 1629475009. It was assigned to this individual provider in the NPPES registry on December 1, 2014.

Where is Christi Brunson located?

Christi Brunson practices at 6135 Park South Dr Ste 105, Charlotte, NC 28210. The listed phone number is (704) 810-2700.

What is Christi Brunson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Christi Brunson enrolled in Medicare?

Yes. Christi Brunson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Christi Brunson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christi Brunson reassigns Medicare benefits to 2 organizations: Rha Behavioral Health Nc LLC (Monroe, NC) and Apogee Behavioral Medicine PC (Greensboro, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christi Brunson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christi Brunson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Christi Brunson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Christi Brunson was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.