NPIMap

Organization Active NPI

Kids on Up Psychotherapy, Inc.

Doing business as Solomon Kobes, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1346601978
Registry record updated May 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004956 Issued in NC
Legal business name
KIDS ON UP PSYCHOTHERAPY, INC.
Doing business as
Solomon Kobes, LCSW
Practice address
101 Conner Dr
Suite 203
Chapel Hill, NC 27514-7038
Phone
(919) 240-5548
Fax
(919) 443-1199
NPI assigned
Mar 9, 2016
Last updated
May 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2016

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

Authorized official

Name
Mr. Solomon Kobes, LCSWNPI 1972515393
Title
President
Phone
(919) 240-5548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C004956 NC Primary

Addresses

Primary practice location

101 Conner Dr
Suite 203
Chapel Hill, NC 27514-7038

Mailing address

205 Della St
Chapel Hill, NC 27516-6050
Phone (919) 240-5548

Other identifiers 2

IdentifierTypeStateIssuer
2852251OtherMEDICARE PTAN
6106445MedicaidNC

Other names 1

  • Solomon Kobes, LCSW Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160907000750 NC Part B Supplier - Clinic/Group Practice 1456647171 Receives reassigned benefits from 3 practitioners
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

Locations

101 Conner Dr
Ste 203
Chapel Hill, NC 27514
Phone (919) 240-5548

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462665600000",
    "number": "1346601978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DELLA ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166050",
            "telephone_number": "919-240-5548",
            "fax_number": "919-443-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CONNER DR",
            "address_2": "SUITE 203",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147038",
            "telephone_number": "919-240-5548",
            "fax_number": "919-443-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS ON UP PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-05-08",
        "status": "A",
        "authorized_official_last_name": "KOBES",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-240-5548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2852251",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106445",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solomon Kobes, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.