Individual provider Active NPI

Kari Bustillos, LPCA

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1285144303
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A13563 Issued in NC
Practice address
6885 Cliffdale Rd
Fayetteville, NC 28314-2833
Phone
(910) 339-0400
Fax
(910) 339-0396
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X A13563 NC Primary

Addresses

Primary practice location

6885 Cliffdale Rd
Fayetteville, NC 28314-2833

Mailing address

479 Broad Dr
Raeford, NC 28376-7365
Phone (989) 889-0640

Other practice location 1

479 Broad Dr
Raeford, NC 28376-7365
Phone (989) 889-0640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260109003378 NC Practitioner - Mental Health Counselor 0345726337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 36131
Fayetteville, NC 28303

PO Box
Suite 36131
Fayetteville, NC 28303-1131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A13563NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Align Counseling and Wellness PLLC Mental Health CurrentSince Dec 18, 2025 Accepting new patients

Locations

1790 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 236-2061

Organizations & group practices 1

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285144303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 BROAD DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767365",
            "telephone_number": "989-889-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 CLIFFDALE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142833",
            "telephone_number": "910-339-0400",
            "fax_number": "910-339-0396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "479 Broad Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283767365",
            "country_code": "US",
            "telephone_number": "989-889-0640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTILLOS",
        "first_name": "KARI",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.