Individual provider Active NPI

Lydia A Kiefer

  • School Counselor
  • Durham, NC
National Provider Identifier
1023641271
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
1193077 Issued in NC
Practice address
800 Clayton Rd
Durham, NC 27703-2606
Phone
(919) 560-3968
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A14244 NC
School Counselor 101YS0200X 1193077 NC Primary

Addresses

Primary practice location

800 Clayton Rd
Durham, NC 27703-2606

Mailing address

1611 Duke University Rd Apt 10C
Durham, NC 27701-2972
Phone (919) 259-2535

Other practice location 1

1709 Legion Rd Ste 224
Chapel Hill, NC 27517-2374
Phone (919) 259-2535

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

State licenses

LicenseStateTypeSpecialty
A14244NCMDProfessional Counselor
1193077NCMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1023641271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 DUKE UNIVERSITY RD APT 10C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012972",
            "telephone_number": "919-259-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CLAYTON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032606",
            "telephone_number": "919-560-3968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Legion Rd Ste 224",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275172374",
            "country_code": "US",
            "telephone_number": "919-259-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEFER",
        "first_name": "LYDIA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14244",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "1193077",
            "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 Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.