Active NPI
Kirsten Davis, LPC
- Professional Counselor
- Rock Hill, SC
National Provider Identifier
1306180575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A8613
- Practice address
- 2025 Ebenezer Rd
Rock Hill, SC 29732-1062 - Phone
- (866) 652-0093
- NPI assigned
- Nov 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A8613 | NC | Primary |
Addresses
Primary practice location
2025 Ebenezer Rd
Rock Hill, SC 29732-1062
Mailing address
2041 Berkley Hall Way Apt 207
Fort Mill, SC 29708-0036
Other practice location 1
5225 McAlpine Glen Dr
# 5
Charlotte, NC 28227-4266
Phone (816) 729-8972
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A8613 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1306180575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 BERKLEY HALL WAY APT 207",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297080036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321062",
"telephone_number": "866-652-0093"
}
],
"practiceLocations": [
{
"address_1": "5225 McAlpine Glen Dr",
"address_2": "# 5",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282274266",
"country_code": "US",
"telephone_number": "816-729-8972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "KIRSTEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A8613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.