Individual provider Active NPI

Kathryn Beam, LCMHCA

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1326715657
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A13612 Issued in NC
Practice address
2110 Golden Gate Dr Ste B
Greensboro, NC 27405-5619
Phone
(336) 429-5600
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A13612 NC Primary

Addresses

Primary practice location

2110 Golden Gate Dr Ste B
Greensboro, NC 27405-5619

Mailing address

3503 Chance Rd
Greensboro, NC 27410-8437
Phone (336) 337-4052

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

LicenseStateTypeSpecialty
A13612NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kellin, PLLC CurrentSince Aug 29, 2021 Accepting new patients

Locations

2110 Golden Gate Dr
Ste B
Greensboro, NC 27405
Phone (336) 327-5315

1175 Revolution Mill Dr
Ste 34
Greensboro, NC 27405

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1326715657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 CHANCE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108437",
            "telephone_number": "336-337-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 GOLDEN GATE DR STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055619",
            "telephone_number": "336-429-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAM",
        "first_name": "KATHRYN",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.