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KATHERINE BROOKS BAUTISTA LCMHC
NPI 1962882126
Counselor - Mental Health in Leland, NC

Active since June 03, 2015PECOS Enrolled
1333 S DICKINSON DR UNIT 200, LELAND, NC 28451(910) 667-3000 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1962882126
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE BROOKS BAUTISTACredential: LCMHC
Location Address1333 S DICKINSON DR UNIT 200Leland, NC 28451-6434
Mailing AddressPo Box 936857Atlanta, GA 31193-6857
Phone(910) 667-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 3, 2015
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1962882126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 15717
1333 S DICKINSON DR UNIT 200, Leland, NC 28451
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12131 S 17th StWilmington, NC 28401-7407 · Phone (910) 667-3000
Location 25501 W Waters Ave, #404Tampa, FL 33634-1229 · Phone (813) 881-1000 ext. 6624
Location 3109 Scotts Hill Medical Dr., Ste 102Wilmington, NC 28411 · Phone (910) 662-1730 · Fax (910) 662-1739

Other Identifiers 1

Medicaid1699355206NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Brooks Bautista Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446729107
PECOS Enrollment IDI20260512003495
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.

Other Providers at the Same Location NPPES

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

NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
Internal Medicine
1333 S DICKINSON DR UNIT 200
LELAND, NC 28451
Brunswick County (910) 667-3000

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 enrollment system.

What insurance does Katherine Bautista accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare 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 47 days 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.