Active NPI
Kristy Lynn Reed, MS, LPA
- Group Psychotherapy Psychologist
- Wilmington, NC
National Provider Identifier
1053430470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- License
- 2086
- Practice address
- 890 S Kerr Ave
Suite 200
Wilmington, NC 28403-4245 - Phone
- (910) 796-6741
- NPI assigned
- Mar 28, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2086 | ND | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2086 | NC | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 2086 | NC | |
| Psychologist | 103T00000X | 2086 | NC | |
| Group Psychotherapy Psychologist | 103TP2701X | 2086 | NC | Primary |
Addresses
Primary practice location
890 S Kerr Ave
Suite 200
Wilmington, NC 28403-4245
Mailing address
4639 McClelland Dr
Q-201
Wilmington, NC 28405-3283
Phone (910) 471-9779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107434 | Medicaid | NC |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2086 | ND | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1053430470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4639 MCCLELLAND DR",
"address_2": "Q-201",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284053283",
"telephone_number": "910-471-9779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 S KERR AVE",
"address_2": "SUITE 200",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034245",
"telephone_number": "910-796-6741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "KRISTY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MS, LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ND",
"license": "2086",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "2086",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NC",
"license": "2086",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "2086",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NC",
"license": "2086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107434",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.