Active NPI
Don Randall Killian Jr., M.S., LPCA
- Professional Counselor
- Flat Rock, NC
National Provider Identifier
1366612111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A8028
- Practice address
- 115 Continental Dr
Flat Rock, NC 28731-9778 - Phone
- (828) 595-3006
- NPI assigned
- Mar 7, 2008
- Last updated
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | A8028 | NC | Primary |
Addresses
Primary practice location
115 Continental Dr
Flat Rock, NC 28731-9778
Mailing address
115 Continental Dr
Flat Rock, NC 28731-9778
Phone (828) 595-3006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A8028 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DK and Co. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1366612111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CONTINENTAL DR",
"city": "FLAT ROCK",
"state": "NC",
"postal_code": "287319778",
"telephone_number": "828-595-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CONTINENTAL DR",
"city": "FLAT ROCK",
"state": "NC",
"postal_code": "287319778",
"telephone_number": "828-595-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLIAN",
"first_name": "DON",
"middle_name": "RANDALL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.S., LPCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-07",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A8028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flat Rock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.