Christopher Kyle Tietsort, QUALIFIED PROFESSION

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

543 Cox Rd
Suite D-4,5
Gastonia, NC 28054-0607

Phone

(704) 865-7818

Fax

(704) 866-4984

NPI assigned

Nov 5, 2007

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

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.

• Steps Behavioral Health

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1902086085
  NPD (past) Authorized official

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1265612428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550614",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280550614",
            "telephone_number": "704-301-2099",
            "fax_number": "704-866-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 COX RD",
            "address_2": "SUITE D-4,5",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540607",
            "telephone_number": "704-865-7818",
            "fax_number": "704-866-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETSORT",
        "first_name": "CHRISTOPHER",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "QUALIFIED PROFESSION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christal Renae Threatt
• Christian Threatt
• John Kersey Throckmorton, DPM
• Christopher Walser Thrower, PHARMD
• Donald Ray Thrower, RPH
• Shanaira Nicole Tigler, FNP-C
• Benson Ellison Lane Timmons IV, MD
• Julie Tina, LCSW
• Caroline Sylvia Tindall, LCSWA
• Lauren Titcher

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.