Kiley Costner Thiel, LCMHCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5150 Issued in NC

Practice address

1501 E 7TH St Ste 6
Charlotte, NC 28204-2455

Phone

(704) 756-3623

NPI assigned

Jul 10, 2006

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

Other identifiers 1

Other names 1

• Kiley A Costner Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1104850593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 7TH ST STE 6",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042455",
            "telephone_number": "704-756-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 7TH ST STE 6",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042455",
            "telephone_number": "704-756-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 South Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282034730",
            "country_code": "US",
            "telephone_number": "704-756-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIEL",
        "first_name": "KILEY",
        "middle_name": "COSTNER",
        "name_prefix": "Mrs.",
        "credential": "LCMHCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103051",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kileythielcounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1501 E 7th St Ste 6",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KILEY",
            "last_name": "COSTNER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jean Thibault, CRNP, MPH
• Jody Ann Thibault, CSAC
• Justin Thibault, PT, DPT
• Craig Thibeault, RPH
• Jessica Turner Thiel, NP
• April L Thiery
• Susan Belk Thiessen, CRNA
• Carter Cade Thigpen, PA-C
• Christine Marie Thigpen, RPA-C
• Third Generation Community Services,LLC

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.