Individual provider Active NPI

Kimberly L Finucan, LPC

  • Professional Counselor
  • Charleston, SC
National Provider Identifier
1275769457
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4771 Issued in SC
Practice address
672 Marina Dr Ste 102
Charleston, SC 29492-8094
Phone
(843) 212-7062
NPI assigned
Jun 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4771 SC Primary

Addresses

Primary practice location

672 Marina Dr Ste 102
Charleston, SC 29492-8094

Mailing address

672 Marina Dr Ste 102
Charleston, SC 29492-8094
Phone (843) 212-7062

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

Practice roles

OrganizationSpecialtyStatusNew patients
Finucan Consulting. LLC Professional CurrentSince Jul 28, 2024 Accepting new patients
Changes Counseling Center, LLC Past Accepting new patients
Changes Counseling Center, LLC Professional PastSince Oct 5, 2016 Accepting new patients

Locations

672 Marina Dr
Ste 102
Charleston, SC 29492
Phone (843) 212-7062

Organizations & group practices 3

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": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1275769457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 MARINA DR STE 102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928094",
            "telephone_number": "843-212-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 MARINA DR STE 102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928094",
            "telephone_number": "843-212-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINUCAN",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-02",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.