Organization Active NPI

Linda Killian, LCSW, Lcas PC

  • Adult Mental Health Clinic/Center
  • Hillsborough, NC
National Provider Identifier
1134489636
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
C002075 Issued in NC
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

Updated by the provider on May 18, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6002362MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.