KATHERINE BROOKS BAUTISTA LCMHC
NPI 1962882126
Counselor - Mental Health in Leland, NC
About Katherine Brooks Bautista Lcmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE BROOKS BAUTISTA LCMHC (NPI 1962882126) is an individual mental health provider in Leland, North Carolina, licensed in North Carolina (15717) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
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
Katherine Brooks Bautista Lcmhc 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.
Medicare Billing Reassignment
Medicare enrollment records show Katherine Bautista reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Leland, NC 28451
- Reassigned Medicare billing, North Carolina enrollment
- 710 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LELAND, NC 28451
LELAND, NC 28451
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 Katherine Bautista's NPI number?
The NPI number for Katherine Bautista is 1962882126. It was assigned to this individual provider in the NPPES registry on June 3, 2015.
Where is Katherine Bautista located?
Katherine Bautista practices at 1333 S Dickinson Dr Unit 200, Leland, NC 28451. The listed phone number is (910) 667-3000.
What is Katherine Bautista's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Katherine Bautista enrolled in Medicare?
Yes. Katherine Bautista 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 organization bills Medicare for Katherine Bautista's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Bautista reassigns Medicare benefits to Novant Health Medical Group Coastal Region, LLC (Leland, NC). The 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 Katherine Bautista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Bautista accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Katherine Bautista 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 Katherine Bautista was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Katherine Brooks Bautista, LCMHC · NPI 1962882126
Mental Health provider in Leland, North Carolina. Individual provider, active in the CMS NPPES registry since June 3, 2015.
## Identity
- **NPI:** 1962882126 (Entity type: Individual)
- **Enumerated:** June 3, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 15717 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1333 S DICKINSON DR UNIT 200, Leland, NC 28451-6434
- **Phone:** (910) 667-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Novant Health Medical Group Coastal Region, LLC (NPI 1134055288, Leland, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 19, 2026
- **Other identifiers:** Medicaid 1699355206 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1962882126) · Data from the CMS NPPES public registry.