Kim Lange, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4248 Issued in NC

Practice address

1508 Military Cutoff Rd Ste 205
Wilmington, NC 28403-5730

Phone

(910) 515-7021

NPI assigned

Sep 23, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lange Wellness, PLLC

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1780944850
  NPD Authorized official
• Awakening Wellness Professional Corporation

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1659648954
  NPD

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1407842495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CAUSEWAY DR UNIT 358",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284801774",
            "telephone_number": "910-515-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 MILITARY CUTOFF RD STE 205",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035730",
            "telephone_number": "910-515-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Devon Lane
• Victoria Maria Lane
• Laney Wellness Center
• Margaret E Lang Houser, MD
• Lange Wellness, PLLC
• Mary Ellen Langford, C.R.N.P.
• Evan Langley, PT, DPT
• Tina Maria Langley, DO
• Anisha Langston
• Brian Lanier

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, 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 Nov 2, 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.