Active NPI
Kristin Felts Weldon, LPC
- Mental Health Counselor
- Greensboro, NC
National Provider Identifier
1417196338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7124
- Practice address
- 1185 Revolution Mill Dr
Ste 7
Greensboro, NC 27405-5162 - Phone
- (336) 509-1999
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7124 | NC | Primary |
Addresses
Primary practice location
1185 Revolution Mill Dr
Ste 7
Greensboro, NC 27405-5162
Mailing address
1816 Colonial Ave
Greensboro, NC 27408-4206
Phone (336) 509-1999
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7124 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1417196338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 COLONIAL AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274084206",
"telephone_number": "336-509-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1185 REVOLUTION MILL DR",
"address_2": "STE 7",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274055162",
"telephone_number": "336-509-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELDON",
"first_name": "KRISTIN",
"middle_name": "FELTS",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "7124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.