Individual provider Active NPI

Keirstin Cotto, LCMHCA, LCAS, CSI

  • Addiction (Substance Use Disorder) Counselor
  • Rocky Mount, NC
National Provider Identifier
1215449012
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS24041 Issued in NC
Practice address
104 Zebulon CT
Rocky Mount, NC 27804-2420
Phone
(252) 972-4357
NPI assigned
Nov 2, 2017
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417002873 NC Practitioner - Mental Health Counselor 3375981863 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS24041NCMDAddiction (Substance Use Disorder) Counselor
A14458NCMDMental Health Counselor
14458NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands MH DD Services CurrentSince Jan 21, 2024 Accepting new patients
Equafinality B CurrentSince Jan 1, 2024 Accepting new patients
Family Medicine & Rehabilitation Center, PC Past Accepting new patients
Destined Path Community Services PastSince Mar 26, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.