Tina Marie Kinnan, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11331 Issued in NC

Practice address

1200 SE Maynard Rd Ste 103
Cary, NC 27511-6937

Phone

(919) 636-0762

Fax

(513) 826-9314

NPI assigned

Feb 25, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Tina Marie Long-Winemiller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simply Teen Outpatient

  • Community/Behavioral Health Agency
  • Apex, NC
  • NPI 1730859513
  NPD Authorized official
• Tina Winemiller Therapy LLC

  • Mental Health Counselor
  • Cary, NC
  • NPI 1306297213
  NPD (past)

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205133386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SE MAYNARD RD STE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116937",
            "telephone_number": "919-636-0762",
            "fax_number": "513-826-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SE MAYNARD RD STE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116937",
            "telephone_number": "919-636-0762",
            "fax_number": "513-826-9314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 S Dixie Dr Ste 534A",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454392256",
            "country_code": "US",
            "telephone_number": "937-307-8961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNAN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0500705",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "11331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "LONG-WINEMILLER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole King, CPNP
• Victoria King
• Serenity Kingsbury, OT
• Jeffrey Andrew Kingsley, DO
• Delma H Kinlaw, DDS
• Kaitlyn Kinzer
• Rachel Louise Kinzie, RD, LD
• Elizabeth Kirby, DC
• Jennifer Johnson Kirby, COTA/L
• Suzanne L. Kirby, MD

• Professional Counselor in Cary, NC
• Providers in Cary, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.