Active NPI
Kimberly Ann Caldwell, LCMHCA
- Counseling Psychologist
- Fayetteville, NC
National Provider Identifier
1396337663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- A15423
- Practice address
- 245 Westlake Rd
Fayetteville, NC 28314-4865 - Phone
- (919) 867-4417
- NPI assigned
- Feb 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | A15423 | NC | Primary |
Addresses
Primary practice location
245 Westlake Rd
Fayetteville, NC 28314-4865
Mailing address
6548 Pacific Ave
Fayetteville, NC 28314-6548
Phone (984) 227-3532
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kimberly.caldwell@heart2heartcounsel.com | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A15423 | NC | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1396337663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6548 PACIFIC AVE",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283146548",
"telephone_number": "984-227-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 WESTLAKE RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283144865",
"telephone_number": "919-867-4417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NC",
"license": "A15423",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kimberly.caldwell@heart2heartcounsel.com",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Fayetteville",
"address_1": "245 Westlake Rd",
"city": "Fayetteville",
"state": "NC",
"country_code": "US",
"postal_code": "283144865",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.