Individual provider Active NPI

Jennifer Neil Kiszely-Ainbinder, M.S./LCMHC

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1063716140
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8318 Issued in NC
Practice address
1027 Arnold St Ofc a
Greensboro, NC 27405-7101
Phone
(336) 303-1060
NPI assigned
Jan 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8318 NC Primary

Addresses

Primary practice location

1027 Arnold St Ofc a
Greensboro, NC 27405-7101

Mailing address

2207 Red Forest Rd
Greensboro, NC 27410-2935
Phone (336) 207-1955

Other identifiers 1

IdentifierTypeStateIssuer
8318OtherNCSTATE OF NORTH CAROLINA LICENSED PROFESSIONAL COUNSELOR #

Other names 1

  • Ms. Jennifer Neil Bressler Former name

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

LicenseStateTypeSpecialty
8318NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1063716140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 RED FOREST RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102935",
            "telephone_number": "336-207-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 ARNOLD ST OFC A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057101",
            "telephone_number": "336-303-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISZELY-AINBINDER",
        "first_name": "JENNIFER",
        "middle_name": "NEIL",
        "name_prefix": "Mrs.",
        "credential": "M.S./LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NORTH CAROLINA LICENSED PROFESSIONAL COUNSELOR #",
            "identifier": "8318",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRESSLER",
            "middle_name": "NEIL",
            "prefix": "MS.",
            "credential": "M.S./LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.