Kimberly Reynolds Pretty, LCAS, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12100 Issued in NC

Practice address

7810 Pineville Matthews Rd Ste 7
Charlotte, NC 28226-5315

Phone

(980) 308-4500

Fax

(980) 458-6037

NPI assigned

Apr 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly Dawn Reynolds Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Robeson Health Care Corporation

  • Federally Qualified Health Center (FQHC)
  • Fairmont, NC
  • NPI 1184490104
  NPD (past)
• Robeson Health Care Corporation

  • Community/Behavioral Health Agency
  • Lakeview, NC
  • NPI 1689716607

  Addiction (Substance Use Disorder)

  NPD (past)
• Tricare Counseling & Consulting, Inc.

  • Community/Behavioral Health Agency
  • Dunn, NC
  • NPI 1225343502
  NPD (past)

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1285078345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 PINEVILLE MATTHEWS RD STE 7",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265315",
            "telephone_number": "980-308-4500",
            "fax_number": "980-458-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 PINEVILLE MATTHEWS RD STE 7",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265315",
            "telephone_number": "980-308-4500",
            "fax_number": "980-458-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETTY",
        "first_name": "KIMBERLY",
        "middle_name": "REYNOLDS",
        "credential": "LCAS, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12100",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "REYNOLDS",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Preston House I, LLC
• Preston Operations, LLC
• Andrea K Preston, OTR/L
• Myra Ann Preston, PH.D
• Pretty Unique LLC
• Chase T Prettyman, D.D.S., M.S.D
• Fletcher Richard Preuss III, MD
• Pamula Shelby Prevatt
• Ricky Prevatte, LMBT
• Preventabel

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.