Individual provider Active NPI

Lara Kowalsky Kehle, MS, BCABA, LPA

  • School Psychologist
  • Cary, NC
National Provider Identifier
1154628469
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
4086 Issued in NC
Practice address
1424 Laughridge Dr
Cary, NC 27511-5267
Phone
(919) 386-5514
NPI assigned
Feb 22, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4086NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chapel Hill Training Outreach Project Current Accepting new patients
Families and Communities Rising, Inc. Current Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4086 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

1424 Laughridge Dr
Cary, NC 27511-5267

Mailing address

1424 Laughridge Dr
Cary, NC 27511-5267
Phone (919) 386-5514

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2011.

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1154628469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 LAUGHRIDGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115267",
            "telephone_number": "919-386-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 LAUGHRIDGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115267",
            "telephone_number": "919-386-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHLE",
        "first_name": "LARA",
        "middle_name": "KOWALSKY",
        "credential": "MS, BCABA, LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NC",
            "license": "4086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.