Organization Active NPI

Kairos Counseling and Consulting LLC

  • Professional Counselor
  • Wilson, NC
National Provider Identifier
1043712649
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10883 Issued in NC
Legal business name
KAIROS COUNSELING AND CONSULTING LLC
Doing business as
Cheri L. Pullen, MS, LPC, LCAS-A
Practice address
2506 Nash St N
Wilson, NC 27896-1393
Phone
(252) 371-1385
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Ms. Cheri Leshune Pullen, LPC, LCAS-ANPI 1194120022
Title
Owner
Phone
(252) 314-5616

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 21350 NC
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 10883 NC Primary

Addresses

Primary practice location

2506 Nash St N
Wilson, NC 27896-1393

Mailing address

220 Sebastian Way
Rocky Mount, NC 27804-9099

Other names 1

  • Cheri L. Pullen, MS, LPC, LCAS-A Doing business as

National Provider Directory

National Provider Directory

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": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1043712649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SEBASTIAN WAY",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961393",
            "telephone_number": "252-371-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "PULLEN",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "LESHUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-314-5616",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21350",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cheri L. Pullen, MS, LPC, LCAS-A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.