Cynthia Darlene Kilby-Queen, LCAS, LCMHCA, CADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19638 Issued in NC

Practice address

924 Main St Ste 310
North Wilkesboro, NC 28659-4266

Phone

(336) 818-9238

Fax

(336) 810-7780

NPI assigned

Sep 26, 2023

Last updated

Apr 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1407635782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 CARTPATH RD",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286598250",
            "telephone_number": "336-978-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 MAIN ST STE 310",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594266",
            "telephone_number": "336-818-9238",
            "fax_number": "336-810-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 Cartpath Rd",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286598250",
            "country_code": "US",
            "telephone_number": "336-978-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILBY-QUEEN",
        "first_name": "CYNTHIA",
        "middle_name": "DARLENE",
        "credential": "LCAS, LCMHCA, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-26257",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Easter Jones, NP
• Phillip Landon Jordan
• Justis Group of Edenton
• Alan C Keys, M.D.
• Hassan Ahmad Khan, M.D.
• Dennis Kimbleton, MD
• Julie Jeannine Klecker, LCMHC, LPC, PC
• Julie Abrams Koch, M.D.
• Catherine Kolstad
• Joseph Koontz

• Mental Health Counselor in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.