Active NPI
Keirstin Cotto, LCMHCA, LCAS, CSI
- Addiction (Substance Use Disorder) Counselor
- Rocky Mount, NC
National Provider Identifier
1215449012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS24041
- Practice address
- 104 Zebulon CT
Rocky Mount, NC 27804-2420 - Phone
- (252) 972-4357
- NPI assigned
- Nov 2, 2017
- Last updated
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS24041 | NC | Primary |
| Mental Health Counselor | 101YM0800X | A14458 | NC |
Addresses
Primary practice location
104 Zebulon CT
Rocky Mount, NC 27804-2420
Mailing address
6812 Ringwood Rd
Enfield, NC 27823-8186
Phone (646) 221-0965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS24041 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A14458 | NC | MD | Mental Health Counselor |
| 14458 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hands MH DD Services | Current | Accepting new patients | |
| Equafinality B | Current | Accepting new patients | |
| Family Medicine & Rehabilitation Center, PC | Past | Accepting new patients | |
| Destined Path Community Services | Past | Accepting new patients |
Locations
201 Tyson St
Greenville, NC 27834
Phone (252) 864-9334
304 Washington Ave
Weldon, NC 27890
Phone (252) 678-2378
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10063668
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Greenville, NC
- NPI 1639772502
-
- Community/Behavioral Health Agency
- Weldon, NC
- NPI 1174954572
-
- Community/Behavioral Health Agency
- Greenville, NC
- NPI 1952004335
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Goldsboro, NC
- NPI 1457436917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1215449012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6812 RINGWOOD RD",
"city": "ENFIELD",
"state": "NC",
"postal_code": "278238186",
"telephone_number": "646-221-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ZEBULON CT",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042420",
"telephone_number": "252-972-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTO",
"first_name": "KEIRSTIN",
"credential": "LCMHCA, LCAS, CSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS24041",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A14458",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.