Individual Healthcare Provider
Katherine Brooks Bautista, LCMHC
Provider's NPPES record last updated: June 19, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1962882126
- Primary Specialty
- Counselor — Mental Health
- Practice Location
- Leland, North Carolina
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 9:04 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800X
Provider-Reported License Information
- Counselor (North Carolina)
- 15717
Practice Locations
Practice Location
1333 S Dickinson Dr Unit 200
Leland, North Carolina 28451-6434
Phone: (910) 667-3000
Additional Practice Location
2131 S 17th St
Wilmington, North Carolina 28401-7407
Phone: (910) 667-3000
Additional Practice Location
5501 W Waters Ave
#404
Tampa, Florida 33634-1229
Phone: (813) 881-1000
Additional Practice Location
109 Scotts Hill Medical Dr.
Ste 102
Wilmington, North Carolina 28411
Phone: (910) 662-1730
Fax: (910) 662-1739
Record Information
- Enumeration Date
- June 3, 2015
- Provider's NPPES Record Last Updated
- June 19, 2026
- Certification Date
- June 19, 2026
- NPISignal NPPES Dataset
- August 2026
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