Active NPI
Kimberly Brown Lilly, MS, NCC, LCMHC
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1245430271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6440
- Practice address
- 8480 Honeycutt Rd Ste 200
Raleigh, NC 27615-2261 - Phone
- (919) 410-8385
- NPI assigned
- Jul 18, 2007
- 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 | 6440 | NC | Primary |
Addresses
Primary practice location
8480 Honeycutt Rd Ste 200
Raleigh, NC 27615-2261
Mailing address
PO Box 1643
Wake Forest, NC 27588-1643
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6440 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mannafull Counseling and Consulting, PLLC | Professional | Current | Accepting new patients |
Locations
8480 Honeycutt Rd
Ste 200
Raleigh, NC 27615
Phone (843) 742-4988
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1245430271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1643",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275881643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8480 HONEYCUTT RD STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276152261",
"telephone_number": "919-410-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "KIMBERLY",
"middle_name": "BROWN",
"name_prefix": "Mrs.",
"credential": "MS, NCC, LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2022-05-06",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "6440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.