Active NPI
Ellen Kinser, LCMHC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1043553530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8447
- Practice address
- 3705 Latrobe Dr Ste 340
Charlotte, NC 28211-4823 - Phone
- (704) 364-3989
- NPI assigned
- Apr 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC 88447 | NC | |
| Professional Counselor | 101YP2500X | 8447 | NC | Primary |
Addresses
Primary practice location
3705 Latrobe Dr Ste 340
Charlotte, NC 28211-4823
Mailing address
20668 Spring Grove LN
Cornelius, NC 28031-8524
Phone (980) 680-9286
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 |
|---|---|---|---|
| LPC 88447 | NC | MD | Mental Health Counselor |
| 8447 | NC | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Community Services LLC | Past | Accepting new patients | |
| Family First Community Services, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1891091641
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1780871293
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1043553530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20668 SPRING GROVE LN",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280318524",
"telephone_number": "980-680-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 LATROBE DR STE 340",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114823",
"telephone_number": "704-364-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSER",
"first_name": "ELLEN",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "LPC 88447",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.