Kimberly Deon McGregor, LCAS, CCS-I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2926-A Issued in NC

Practice address

139 Pinehurst Ave Ste a
Southern Pines, NC 28387-7099

Phone

(910) 551-4461

NPI assigned

Jan 8, 2013

Sex

Female

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

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.

• Light House Professional Counseling

  • Community/Behavioral Health Agency
  • Aberdeen, NC
  • NPI 1528453263
  NPD (past) Authorized official

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1295072429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SAINT MATTHEWS CHURCH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767840",
            "telephone_number": "910-551-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 PINEHURST AVE STE A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877099",
            "telephone_number": "910-551-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREGOR",
        "first_name": "KIMBERLY",
        "middle_name": "DEON",
        "name_prefix": "Ms.",
        "credential": "LCAS, CCS-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2926-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan McDonnell, PSYD
• Madeline Elaine McDonough, M.ED, BCBA
• Daceya McDuffie
• McGowan Counseling Services, P. a.
• Barbara C McGowan, LCSW
• Thomas P McKay Jr., D.C.
• Susan McKibben, L.AC.
• Carolyn McLean, BK (TEACHER)
• Meagan Bradham McLean, DNP
• Ivy N McLeod

• Addiction (Substance Use Disorder) Counselor in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.