Jennifer Kolb, MA, LPCA, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A12176 Issued in NC

Practice address

549 Cox Rd
Gastonia, NC 28054-0628

Phone

(704) 865-1558

Fax

(704) 865-9908

NPI assigned

Mar 11, 2016

Last updated

Mar 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McLeod Centers for Wellbeing

  • Community/Behavioral Health Agency
  • Lenoir, NC
  • NPI 1285054411
  NPD (past)
• McLeod Centers for Wellbeing

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1841477205
  NPD (past)

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1427419969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CLANTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540628",
            "telephone_number": "704-865-1558",
            "fax_number": "704-865-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "JENNIFER",
        "credential": "MA, LPCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith June Kocan
• Paul Varkey Kochupura
• Dorothy Mandiparira Kodzwa, MD
• Julie Koenig, DNP, CRNA
• Sathyanarayana Naidu Koidala Veera Venkata
• Lindsay Kolb, M.S. CCC-SLP
• Chrys B Kolodny, BSW
• Anisa Chun Kong, OTR/L, CHT
• Kara Konrad, LPC, NCC
• Lauren Koontz

• Professional Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.