Organization Active NPI

Kimberly Owen

  • Community/Behavioral Health Agency
  • Cornelius, NC
National Provider Identifier
1356708994
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jan 27, 2016

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)CodeLicenseStatePrimary
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 Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.