Organization Active NPI

Lindy W. Kitchin Counseling PLLC

  • Clinical Social Worker
  • Rocky Mount, NC
National Provider Identifier
1003402660
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LINDY W. KITCHIN COUNSELING PLLC
Practice address
138 Roundabout CT
Rocky Mount, NC 27804-3573
Phone
(252) 578-4344
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lindy Kitchin, LCSWNPI 1215162284
Title
Owner
Phone
(252) 578-4344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

138 Roundabout CT
Rocky Mount, NC 27804-3573

Mailing address

138 Roundabout CT
Rocky Mount, NC 27804-3573
Phone (252) 578-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201221002809 NC Part B Supplier - Clinic/Group Practice 5294147914 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Mount, NC

National Provider Directory

National Provider Directory

Locations

138 Roundabout Ct
Rocky Mount, NC 27804
Phone (252) 578-4344

146 Roundabout Ct
Rocky Mount, NC 27804
Phone (252) 578-4344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1003402660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ROUNDABOUT CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043573",
            "telephone_number": "252-578-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 ROUNDABOUT CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043573",
            "telephone_number": "252-578-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDY W. KITCHIN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "KITCHIN",
        "authorized_official_first_name": "LINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-578-4344",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.