Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Brooks Bautista, LCMHC

Individual provider Mental Health Counselor · NPI 1962882126

Katherine Brooks Bautista, LCMHC is a Mental Health Counselor in Leland, North Carolina. Qualified in 2015, 11 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2015

Practice location Address checks out

1333 S Dickinson Dr Unit 200
Leland, NC 28451-6434
Phone: (910) 667-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5501 W Waters Ave, Tampa, FL 33634-1229 — (813) 881-1000
  • 2131 S 17th St, Wilmington, NC 28401-7407 — (910) 667-3000
  • 109 Scotts Hill Medical Dr., Wilmington, NC 28411 — (910) 662-1730

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 15717 (NC)

Record details

NPI number1962882126
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorYes
NPI enumeratedJune 3, 2015
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Leland