Active NPI
Katie Windham Lcmhc PC
- Psychologist
- Wilmington, NC
National Provider Identifier
1255067617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- KATIE WINDHAM LCMHC PC
- Practice address
- 1303 Independence Blvd Ste C
Wilmington, NC 28403-0866 - Phone
- (912) 441-7695
- NPI assigned
- Jul 28, 2022
- Last updated
- Jul 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine N Windham, LCMHC
- Title
- Psychologist
- Phone
- (912) 441-7695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
1303 Independence Blvd Ste C
Wilmington, NC 28403-0866
Mailing address
310 Oakmont Dr
Hampstead, NC 28443-8475
Phone (912) 441-7695
National Provider Directory
National Provider Directory- Tax ID family
- Katie Windham Lcmhc PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Wilmington, NC
- NPI 1730808999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Hattiesburg, MS
- NPI 1922244839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658966400000",
"number": "1255067617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 OAKMONT DR",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284438475",
"telephone_number": "912-441-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 INDEPENDENCE BLVD STE C",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284030866",
"telephone_number": "912-441-7695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATIE WINDHAM LCMHC PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-28",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A",
"authorized_official_last_name": "WINDHAM",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "912-441-7695",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.