Individual provider Active NPI

Kelli Annette Pinion, LCMHCA

  • Professional Counselor
  • Albemarle, NC
National Provider Identifier
1396325395
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A16540 Issued in NC
Practice address
2620 W Main St
Albemarle, NC 28001-7457
Phone
(980) 581-8144
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 1225035 NC
Professional Counselor 101YP2500X A16540 NC Primary

Addresses

Primary practice location

2620 W Main St
Albemarle, NC 28001-7457

Mailing address

104 Fox Trail Rd
Oakboro, NC 28129-9419
Phone (704) 699-1398

Other practice location 1

104 Fox Trail Rd
Oakboro, NC 28129-9419
Phone (704) 699-1398

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
A16540NCMDProfessional Counselor
1225035NCMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Counseling and Learning Solutions, PLLC Professional CurrentSince Aug 28, 2021 Accepting new patients
Oak Path Counseling Group, PLLC Past Accepting new patients

Locations

2620 W Main St
Albemarle, NC 28001
Phone (980) 581-8144

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1396325395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FOX TRAIL RD",
            "city": "OAKBORO",
            "state": "NC",
            "postal_code": "281299419",
            "telephone_number": "704-699-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 W MAIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280017457",
            "telephone_number": "980-581-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Fox Trail Rd",
            "address_purpose": "LOCATION",
            "city": "Oakboro",
            "state": "NC",
            "postal_code": "281299419",
            "country_code": "US",
            "telephone_number": "704-699-1398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINION",
        "first_name": "KELLI",
        "middle_name": "ANNETTE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "1225035",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A16540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.