Active NPI
Kate Thieda, MS, LPC, NCC
- Professional Counselor
- Durham, NC
National Provider Identifier
1003106295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 2200 W Main St
Suite 400a
Durham, NC 27705-4640 - Phone
- (919) 416-1727
- NPI assigned
- Apr 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2200 W Main St
Suite 400a
Durham, NC 27705-4640
Mailing address
2200 W Main St
Suite 400a
Durham, NC 27705-4640
Phone (919) 416-1727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1003106295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W MAIN ST",
"address_2": "SUITE 400A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054640",
"telephone_number": "919-416-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W MAIN ST",
"address_2": "SUITE 400A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054640",
"telephone_number": "919-416-1727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEDA",
"first_name": "KATE",
"credential": "MS, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-09",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.