Active NPI
Kimberly Owen
- Community/Behavioral Health Agency
- Cornelius, NC
National Provider Identifier
1356708994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- KIMBERLY OWEN
- Practice address
- 17830 Statesville Rd
Suite235
Cornelius, NC 28031-9173 - Phone
- (704) 604-9249
- NPI assigned
- Jan 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Owen
- Title
- LPC
- Phone
- (704) 604-9249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
17830 Statesville Rd
Suite235
Cornelius, NC 28031-9173
Mailing address
17830 Statesville Rd
Suite235
Cornelius, NC 28031-9173
National Provider Directory
National Provider Directory- Tax ID family
- Counseling Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Cornelius, NC
- NPI 1790144277
-
- Community/Behavioral Health Agency
- Huntersville, NC
- NPI 1336552314
Locations
17830 Statesville Rd
Ste 235
Cornelius, NC 28031
Phone (704) 701-4428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453852800000",
"number": "1356708994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17830 STATESVILLE RD",
"address_2": "SUITE235",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280319173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17830 STATESVILLE RD",
"address_2": "SUITE235",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280319173",
"telephone_number": "704-604-9249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBERLY OWEN",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-27",
"last_updated": "2016-01-27",
"status": "A",
"authorized_official_last_name": "OWEN",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "LPC",
"authorized_official_telephone_number": "704-604-9249"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.