Individual provider Active NPI

Kyria Mabiala

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1295433225
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A17690 Issued in NC
Practice address
7610 Falls of Neuse Rd Ste 290
Raleigh, NC 27615-3307
Phone
(919) 321-9702
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 28081 NC
Mental Health Counselor 101YM0800X A17690 NC Primary

Addresses

Primary practice location

7610 Falls of Neuse Rd Ste 290
Raleigh, NC 27615-3307

Mailing address

231 Commerce St
Greenville, NC 27858-5029
Phone (252) 321-8080

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
I20250429000803 NC Practitioner - Mental Health Counselor 8325564776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MonarchGroup PAC ID 0244273852, 92 clinicians

Practice addresses (Care Compare)

350 Pee Dee Ave
Suite 101
Albemarle, NC 28001-4945
Phone (704) 986-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28081NCMDAddiction (Substance Use Disorder) Counselor
A17690NCMDMental Health Counselor
17690NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch CurrentSince Mar 28, 2025 Accepting new patients
Monarch Current Accepting new patients
Monarch CurrentSince Mar 28, 2025 Accepting new patients
Pride in North Carolina, LLC Mental Health PastSince Feb 26, 2023 Accepting new patients
Monarch Past Accepting new patients
Pride in North Carolina, LLC Mental Health PastSince Feb 26, 2023 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

319 Chapanoke Rd
Ste 119
Raleigh, NC 27603

Organizations & group practices 6

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1295433225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 COMMERCE ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585029",
            "telephone_number": "252-321-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 FALLS OF NEUSE RD STE 290",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153307",
            "telephone_number": "919-321-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABIALA",
        "first_name": "KYRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "28081",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.