Kristine Isolina Pelletier-Garcia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009115 Issued in NC

Practice address

155 Tanager LN
Chapel Hill, NC 27517-6452

Phone

(980) 270-6192

NPI assigned

Aug 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634
  NPD

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1215769302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 TANAGER LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275176452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 TANAGER LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275176452",
            "telephone_number": "980-270-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER-GARCIA",
        "first_name": "KRISTINE",
        "middle_name": "ISOLINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devan Darren Kristopher Peebles, DC
• Mary Elizabeth Peeler, MD
• Anne F Peery, M.D.
• Jennifer L Peifer, PA
• Allisa Gladys Pellegrino, MS, RD, LDN
• Lauren Mae Peltier, MD
• Bridget Pemberton-Smith, ATR-BC
• Esteban Pena Ayala, M.D.
• Sara Kelleher Pena
• Kenan Miles Penaskovic, MD

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.