Active NPI
Ty Kays, LPC
- Mental Health Counselor
- Kannapolis, NC
National Provider Identifier
1043450539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8080
- Practice address
- 119 West Ave
Kannapolis, NC 28081-4332 - Phone
- (757) 943-0694
- Fax
- (866) 828-5520
- NPI assigned
- Feb 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004355 | VA | |
| Professional Counselor | 101YP2500X | 8080 | NC | |
| Mental Health Counselor | 101YM0800X | 8080 | NC | Primary |
Addresses
Primary practice location
119 West Ave
Kannapolis, NC 28081-4332
Mailing address
119 West Ave
Kannapolis, NC 28081-4332
Phone (757) 943-0694
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4945573 | Medicaid | VA | |
| 6104642 | Medicaid | NC | |
| 6104642 | Other | NC | NC HEALTH CHOICE |
| C03714 | Other | VA | MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004355 | VA | MD | Professional Counselor |
| 8080 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1043450539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 WEST AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280814332",
"telephone_number": "757-943-0694",
"fax_number": "866-828-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 WEST AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280814332",
"telephone_number": "757-943-0694",
"fax_number": "866-828-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYS",
"first_name": "TY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-24",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004355",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8080",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4945573",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104642",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC HEALTH CHOICE",
"identifier": "6104642",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "C03714",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kannapolis, NC
- Kannapolis Healthcare LLC (Transitional Health Services of Kannapolis)
- Kannapolis Holdings LLC (Kannapolis Village)
- Kannapolis Internal Medicine
- Kannapolis Spine & Rehab, Inc.
- Pavana Karanth, DDS
- Larry Keever
- Linda Ward Kellogg, LPN
- Heidi Kempert, PTA
- Barbara Jean Kennedy, MA, NCC
- Crystal Emma Kennedy, CEO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.