Active NPI
Kathy Lynn Medlin, LMFTA
- Marriage & Family Therapist
- Roxboro, NC
National Provider Identifier
1427550359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 20377A
- Practice address
- 355 S Madison Blvd Ste C1
Roxboro, NC 27573-5485 - Phone
- (833) 800-1505
- NPI assigned
- Mar 7, 2018
- Last updated
- Mar 25, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 20377A | NC | Primary |
Addresses
Primary practice location
355 S Madison Blvd Ste C1
Roxboro, NC 27573-5485
Mailing address
4113 Grove Ridge Dr
Durham, NC 27703-3760
Phone (919) 830-0521
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 |
|---|---|---|---|
| 20377A | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1427550359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4113 GROVE RIDGE DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277033760",
"telephone_number": "919-830-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 S MADISON BLVD STE C1",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275735485",
"telephone_number": "833-800-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLIN",
"first_name": "KATHY",
"middle_name": "LYNN",
"credential": "LMFTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-07",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "20377A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roxboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.