Deconstruct2Reconstruct

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DECONSTRUCT2RECONSTRUCT

Doing business as

Deconstruct2Reconstruct

Practice address

206 Sassafras Road
Mooresville, NC 28115

Phone

(704) 819-3122

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Katrina Kilpatrick, MSW

Title

Executive Director

Phone

(704) 819-3122

Specialties & licenses 3

Addresses

Other names 1

• Deconstruct2Reconstruct Doing business as

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.

• Katrina Shanta Kerr, MSW

  • Mental Health Counselor
  • Concord, NC
  • NPI 1679915904
  NPD

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1396511846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SASSAFRAS RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281150049",
            "telephone_number": "704-819-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SASSAFRAS ROAD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115",
            "telephone_number": "704-819-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECONSTRUCT2RECONSTRUCT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-819-3122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deconstruct2Reconstruct",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Day
• Ivy Geralyn De Leon, PMHNP-BC, FNP-C
• Laura Autumn De Leon
• Amy Caroline Deal, MS, CCC, SLP
• Kristine Marie Deboer, D.C.
• Dedicated Home Services (Interim HealthCare of the Carolinas)
• Dedicated Home Services Inc (Interim HealthCare of the Carolinas)
• Dana R Degan, RDN
• Vanessa Degrave
• Sarah Ann Deland, PHARM.D.

• Community/Behavioral Health Agency in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.