Individual provider Active NPI

Judy B Kilpatrick, LMFT

  • Marriage & Family Therapist
  • Ahoskie, NC
National Provider Identifier
1366786345
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1478 Issued in NC
Practice address
228 Main St E
Ahoskie, NC 27910-3418
Phone
(252) 209-0388
Fax
(252) 209-0488
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1478 NC Primary

Addresses

Primary practice location

228 Main St E
Ahoskie, NC 27910-3418

Mailing address

228 Main St E
Ahoskie, NC 27910-3418
Phone (252) 209-0388

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

State licenses

LicenseStateTypeSpecialty
1478NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Enc Therapy PC Marriage & Family Therapist Current Accepting new patients
Pamlico Counseling PLLC Past Accepting new patients

Locations

216 Haslin St
Belhaven, NC 27810
Phone (252) 943-5607

408 E 11th St
Washington, NC 27889
Phone (252) 975-2027

Organizations & group practices 2

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1366786345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 MAIN ST E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103418",
            "telephone_number": "252-209-0388",
            "fax_number": "252-209-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MAIN ST E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103418",
            "telephone_number": "252-209-0388",
            "fax_number": "252-209-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "JUDY",
        "middle_name": "B",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.