Kelsey Marie Socko, MA, NCC, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18147 Issued in NC

Practice address

3812 Rocking Robyn Run
Knightdale, NC 27545-8716

Phone

(919) 266-4358

NPI assigned

Oct 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1336864685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 CARDINAL GROVE BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166161",
            "telephone_number": "919-757-3877",
            "fax_number": "919-573-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 ROCKING ROBYN RUN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458716",
            "telephone_number": "919-266-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCKO",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "credential": "MA, NCC, LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.