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

Mr. Jerry Brooks Dye Jr.

Individual provider Mental Health Counselor · NPI 1457824633

Mr. Jerry Brooks Dye Jr. is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 1998, 28 years ago. Licensed in North Carolina and South Carolina.

Years since qualifying
28
Licensed in
NC, SC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

15801 Brixham Hill Ave Ste 475
Charlotte, NC 28277-0878
Phone: (704) 251-9084
Fax: (877) 513-7720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 16361 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 9829 (SC)

Record details

NPI number1457824633
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2019
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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