Active NPI
Linda Killian, LCSW, Lcas PC
- Adult Mental Health Clinic/Center
- Hillsborough, NC
National Provider Identifier
1134489636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- C002075
- Legal business name
- LINDA KILLIAN, LCSW, LCAS PC
- Practice address
- 960 Corporate Dr Ste 401
Hillsborough, NC 27278-8560 - Phone
- (919) 732-3504
- Fax
- (919) 732-3557
- NPI assigned
- May 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Hall Killian, LCSW, LCAS
- Title
- Owner
- Phone
- (919) 732-3504
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | C002075 | NC | Primary |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | C002075 | NC |
Addresses
Primary practice location
960 Corporate Dr Ste 401
Hillsborough, NC 27278-8560
Mailing address
PO Box 772
960 Corporate Drive, Suite 401
Hillsborough, NC 27278-0772
Phone (919) 732-3504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002362 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
960 Corporate Dr
Ste 401
Hillsborough, NC 27278
Phone (919) 357-7914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337299200000",
"number": "1134489636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772",
"address_2": "960 CORPORATE DRIVE, SUITE 401",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272780772",
"telephone_number": "919-732-3504",
"fax_number": "919-732-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 CORPORATE DR STE 401",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272788560",
"telephone_number": "919-732-3504",
"fax_number": "919-732-3557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA KILLIAN, LCSW, LCAS PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-18",
"last_updated": "2012-05-18",
"status": "A",
"authorized_official_last_name": "KILLIAN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "HALL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-732-3504",
"authorized_official_credential": "LCSW, LCAS"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NC",
"license": "C002075",
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NC",
"license": "C002075",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002362",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.