Active NPI
Kristin Reiners Nichols, LPC, NCC
- Mental Health Counselor
- Winston Salem, NC
National Provider Identifier
1265586010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7927
- Practice address
- 3504 Vest Mill Road
Winston Salem, NC 27103 - Phone
- (336) 745-9719
- NPI assigned
- Jan 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7927 | NC | |
| Mental Health Counselor | 101YM0800X | 7927 | NC | Primary |
Addresses
Primary practice location
3504 Vest Mill Road
Winston Salem, NC 27103
Mailing address
PO Box 26121
Winston Salem, NC 27114
Phone (336) 745-9719
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7835797 | Other | MD | AETNA |
| 64750003 | Other | MD | BCBS MD |
| 82124600 | Other | MD | MAGELLAN |
| 50630001 | Other | DC | BCBS DC |
Other names 1
- Miss Kristin E. Reiners
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 |
|---|---|---|---|
| 7927 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1265586010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26121",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27114",
"telephone_number": "336-745-9719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 VEST MILL ROAD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-745-9719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "KRISTIN",
"middle_name": "REINERS",
"name_prefix": "Mrs.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7927",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "7927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7835797",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MD",
"identifier": "64750003",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "82124600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DC",
"identifier": "50630001",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "REINERS",
"middle_name": "E.",
"prefix": "MISS",
"credential": "LPC, NCC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.