Kathy Dodge Mansfield, LPC LCAS CCS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC1030 Issued in NC

Practice address

2807 Neuse Blvd
Ste 5
New Bern, NC 28562-2815

Phone

(252) 636-0112

Fax

(252) 634-9778

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Kathy Dodge Beckwith Former name

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.

• Colony Behavioral Health Group, PLLC

  • Counseling Psychologist
  • Trent Woods, NC
  • NPI 1770536054

  Counselor

  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1083684070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 NEUSE BLVD",
            "address_2": "STE 5",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622815",
            "telephone_number": "252-636-0112",
            "fax_number": "252-634-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 NEUSE BLVD",
            "address_2": "STE 5",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622815",
            "telephone_number": "252-636-0112",
            "fax_number": "252-634-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "KATHY",
        "middle_name": "DODGE",
        "name_prefix": "Ms.",
        "credential": "LPC  LCAS  CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "LPC1030",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS28",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14309",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "304557",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHA",
            "identifier": "1572",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "161958",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "BECKWITH",
            "middle_name": "DODGE",
            "credential": "LPC  LCAS  CCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael John Malishewsky, R.PH.
• Hailey Malsch, OTR/L
• Jennie Craig Mangun, MD
• James Joseph Manley, M.D.
• Rebecca Anne Manning, FNP
• Brian F Mara, MPT
• Margot Marcantonio
• Jason Marcello, RRA
• Sharon Marion
• Angela Marlowe, MS, MFTA

• Counselor in New Bern, NC
• Providers in New Bern, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.