Kerry E Patmore

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18614 Issued in NC

Practice address

280 Executive Park Dr Ste 100
Concord, NC 28025-1838

Phone

(914) 474-7308

NPI assigned

Aug 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kerry E Tracy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1356774038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 MOSS CREEK DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280756696",
            "telephone_number": "914-474-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251838",
            "telephone_number": "914-474-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATMORE",
        "first_name": "KERRY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "TRACY",
            "middle_name": "E",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Michael Paternite, MD
• Andrew Paterno
• Steven Paterno, MD
• Pathways NC Inc.
• Ajay Arun Patil, DO
• Patricia a. Stainback, D.M.D., P.a.
• Patricia London DDS
• Janice Kaye Patten, PHARMD
• Bryan Thomas Patterson, PHD
• Emily Frances Patterson, PA-C

• Mental Health Counselor in Concord, NC
• Providers in Concord, 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 Apr 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.