Individual provider Active NPI

Karli Marie Kilby, MS, LCPC

  • Professional Counselor
  • Goose Creek, SC
National Provider Identifier
1114537461
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10407 Issued in SC
Practice address
597 Old Mount Holly Rd Ste 300
Goose Creek, SC 29445-2832
Phone
(843) 501-1099
Fax
(843) 405-2040
NPI assigned
Aug 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Professional Counselor 101YP2500X CP5688 NV
Professional Counselor 101YP2500X 10407 SC Primary

Addresses

Primary practice location

597 Old Mount Holly Rd Ste 300
Goose Creek, SC 29445-2832

Mailing address

597 Old Mount Holly Rd Ste 300
Goose Creek, SC 29445-2832
Phone (843) 501-1099

Other practice location 1

2500 W Washington Ave Bldg B
Las Vegas, NV 89106-3731
Phone (702) 857-8800

Other practice location 2

4220 S Maryland Pkwy
Las Vegas, NV 89119-7533
Phone (415) 424-4266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604002346 SC Practitioner - Mental Health Counselor 0648741256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CP5688NVMDProfessional Counselor
10407SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Counseling Center PC Professional CurrentSince Apr 20, 2026 Accepting new patients

Locations

597 Old Mount Holly Rd
Ste 300
Goose Creek, SC 29445
Phone (855) 900-7318

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1114537461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 OLD MOUNT HOLLY RD STE 300",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452832",
            "telephone_number": "843-501-1099",
            "fax_number": "843-405-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 OLD MOUNT HOLLY RD STE 300",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452832",
            "telephone_number": "843-501-1099",
            "fax_number": "843-405-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Washington Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891063731",
            "country_code": "US",
            "telephone_number": "702-857-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4220 S Maryland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891197533",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILBY",
        "first_name": "KARLI",
        "middle_name": "MARIE",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5688",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.