Active NPI
Jennifer Belinda Bates, LPC, MA/ED.S
- Mental Health Counselor
- Kinston, NC
National Provider Identifier
1336319862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2902 N Herritage St Ste a
Kinston, NC 28501-1580 - Phone
- (252) 686-5020
- NPI assigned
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5564 | NC | |
| School Counselor | 101YS0200X | NC | ||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2902 N Herritage St Ste a
Kinston, NC 28501-1580
Mailing address
351 Running Springs LN
Kernersville, NC 27284-7685
Phone (336) 408-9607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104136 | Medicaid | NC |
Other names 1
- Jennifer Watkins
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 |
|---|---|---|---|
| 5564 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pride in North Carolina, LLC | Mental Health | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Greenville, NC
- NPI 1760420186
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1336319862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 RUNNING SPRINGS LN",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847685",
"telephone_number": "336-408-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 N HERRITAGE ST STE A",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011580",
"telephone_number": "252-686-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "JENNIFER",
"middle_name": "BELINDA",
"credential": "LPC, MA/ED.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-12",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5564",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104136",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WATKINS",
"credential": "LPC, MA/ED.S",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.