The Kairos Experience, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE KAIROS EXPERIENCE, PLLC

Practice address

1208 Oakcrest Green CT
Morrisville, NC 27560-6924

Phone

(919) 337-2164

Fax

(919) 650-1259

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Deshala Chanchez Hunt, LCSWNPI 1518632843

Title

Ceo

Phone

(919) 337-2164

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Deshala Chanchez Hunt, B.S., MSW, LCSW

  • Clinical Social Worker
  • Morrisville, NC
  • NPI 1518632843
  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1043063464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 OAKCREST GREEN CT",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606924",
            "telephone_number": "919-337-2164",
            "fax_number": "919-650-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 OAKCREST GREEN CT",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606924",
            "telephone_number": "919-337-2164",
            "fax_number": "919-650-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KAIROS EXPERIENCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "DESHALA",
        "authorized_official_middle_name": "CHANCHEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-337-2164",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, AETNA, OPTUM, OSCAR, AND OTHER PRIVATE INSURANCE",
            "identifier": "1518632843",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Morrisville, NC
• Providers in Morrisville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.