Active NPI
Deborah Kish, MACC, LPCA
- Professional Counselor
- Cornelius, NC
National Provider Identifier
1235697871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A13945
- Practice address
- 18125 W Catawba Ave Ste 5
Cornelius, NC 28031-5641 - Phone
- (571) 528-8213
- NPI assigned
- Mar 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A13945 | NC | Primary |
Addresses
Primary practice location
18125 W Catawba Ave Ste 5
Cornelius, NC 28031-5641
Mailing address
14404 Rhiannon LN
Huntersville, NC 28078-1257
Phone (571) 528-8213
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
| License | State | Type | Specialty |
|---|---|---|---|
| A13945 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551484800000",
"number": "1235697871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14404 RHIANNON LN",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280781257",
"telephone_number": "571-528-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18125 W CATAWBA AVE STE 5",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315641",
"telephone_number": "571-528-8213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISH",
"first_name": "DEBORAH",
"credential": "MACC, LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-02",
"last_updated": "2019-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A13945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.