Individual provider Active NPI

Kenneth Scott Pritchard, LCMHC, LCAS, QS, CSI

  • Mental Health Counselor
  • Greenville, NC
National Provider Identifier
1164039764
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCMHC-8264 Issued in NC
Practice address
1853 Ida and Mary McLawhorn Rd
Greenville, NC 27858-9158
Phone
(252) 917-4518
NPI assigned
Sep 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-2453 NC
Mental Health Counselor 101YM0800X LCMHC-8264 NC Primary

Addresses

Primary practice location

1853 Ida and Mary McLawhorn Rd
Greenville, NC 27858-9158

Mailing address

1853 Ida and Mary McLawhorn Rd
Greenville, NC 27858-9158
Phone (252) 917-4518

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

LicenseStateTypeSpecialty
LCAS-2453NCMDAddiction (Substance Use Disorder) Counselor
LCMHC-8264NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1164039764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 IDA AND MARY MCLAWHORN RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589158",
            "telephone_number": "252-917-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 IDA AND MARY MCLAWHORN RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589158",
            "telephone_number": "252-917-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "KENNETH",
        "middle_name": "SCOTT",
        "credential": "LCMHC, LCAS, QS, CSI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-2453",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LCMHC-8264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.