Organization Active NPI

Kep Life Skills Consulting LLC

Doing business as KEP Life Skills

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1396135257
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007659 Issued in PA
Legal business name
KEP LIFE SKILLS CONSULTING LLC
Doing business as
KEP Life Skills
Practice address
1518 Walnut St
Suite 607
Philadelphia, PA 19102-3419
Phone
(267) 702-4537
NPI assigned
Jan 30, 2015
Last updated
Jan 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Katrina Pinkney, LPCNPI 1366833139
Title
Ceo
Phone
(267) 702-4537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X PC007659 PA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC007659 PA Primary

Addresses

Primary practice location

1518 Walnut St
Suite 607
Philadelphia, PA 19102-3419

Mailing address

2417 Welsh Rd
Suite 21-219
Philadelphia, PA 19114-2213
Phone (267) 702-4537

Other names 1

  • KEP Life Skills Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1396135257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 WELSH RD",
            "address_2": "SUITE 21-219",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142213",
            "telephone_number": "267-702-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST",
            "address_2": "SUITE 607",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023419",
            "telephone_number": "267-702-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEP LIFE SKILLS CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "PINKNEY",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-702-4537",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC007659",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEP Life Skills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.