Active NPI
Karin McPeak Dumont
- Professional Counselor
- Fayetteville, NC
National Provider Identifier
1124212121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4326
- Practice address
- 442 Shawcroft Rd
Fayetteville, NC 28311-2945 - Phone
- (910) 488-7679
- NPI assigned
- Sep 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1123 | NC | |
| Professional Counselor | 101YP2500X | 4326 | NC | Primary |
| School Counselor | 101YS0200X | XXXXXXX38 | NC |
Addresses
Primary practice location
442 Shawcroft Rd
Fayetteville, NC 28311-2945
Mailing address
442 Shawcroft Rd
Fayetteville, NC 28311-2945
Phone (910) 488-7679
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4326 | NC | MD | Professional Counselor |
| XXXXXXX38 | NC | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188604800000",
"number": "1124212121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 SHAWCROFT RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283112945",
"telephone_number": "910-488-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 SHAWCROFT RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283112945",
"telephone_number": "910-488-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMONT",
"first_name": "KARIN",
"middle_name": "MCPEAK",
"name_prefix": "Prof.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-01",
"last_updated": "2007-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1123",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4326",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NC",
"license": "XXXXXXX38",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.