Kimberly Carpenter, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A11798 Issued in NC

Practice address

9220 Beach Dr SW Ste 9C
Calabash, NC 28467-2960

Phone

(910) 880-4813

NPI assigned

Nov 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Breezeway Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Wilmington, NC
  • NPI 1861266033
  NPD Authorized official

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1053785915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OHANA DR NW",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BEACH DR SW STE 9C",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "284672960",
            "telephone_number": "910-880-4813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Ohana Dr NW",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284624222",
            "country_code": "US",
            "telephone_number": "910-880-4813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KIMBERLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calabash Family Pharmacy Inc
• Calabash Medical Center,PA
• Calabash Primary Care LLC
• Calabash Volunteer EMS
• Carolina Shores Healthcare, LLC
• Coastal Tides Counseling PLLC
• Christen Price Cox, MA, LPC, NCC
• Mayson Cox
• Carrie Wemyss Danford, PHARM.D.
• Deeb & Fanning DDS PA

• All providers in Calabash, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.