Individual provider Active NPI

Kristan A Ross, M.S, LCAS-A, LCMHC-A

  • Mental Health Counselor
  • Shelby, NC
National Provider Identifier
1306302799
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A22219 Issued in NC
Practice address
1895 E Dixon Blvd
Shelby, NC 28152-6901
Phone
(980) 306-4201
Fax
(704) 445-7016
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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 A22219 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-29980 NC

Addresses

Primary practice location

1895 E Dixon Blvd
Shelby, NC 28152-6901

Mailing address

13420 Reese Blvd W
Huntersville, NC 28078-7925
Phone (980) 269-3106

Other practice location 1

13420 Reese Blvd W
Huntersville, NC 28078-7925
Phone (980) 269-3106

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCAS-29980NCMDAddiction (Substance Use Disorder) Counselor
A22219NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1306302799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 REESE BLVD W",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787925",
            "telephone_number": "980-269-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 E DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526901",
            "telephone_number": "980-306-4201",
            "fax_number": "704-445-7016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13420 Reese Blvd W",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280787925",
            "country_code": "US",
            "telephone_number": "980-269-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KRISTAN",
        "middle_name": "A",
        "credential": "M.S, LCAS-A, LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A22219",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-29980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.