Kimberly Rose Jeffs, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7954 Issued in NC

Practice address

102 Ashe Street
Carrboro, NC 27510

Phone

(919) 323-2071

Fax

(413) 395-2018

NPI assigned

Sep 17, 2008

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

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 and National Provider Directory roles.

• Somatic Integrative Psychotherapy Clinic of NC, PLLC

  • Mental Health Counselor
  • Chapel Hill, NC
  • NPI 1619760295
  NPD Authorized official

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1457500118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ASHE STREET",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "27510",
            "telephone_number": "919-323-2071",
            "fax_number": "413-395-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ASHE STREET",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "27510",
            "telephone_number": "919-323-2071",
            "fax_number": "413-395-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFS",
        "first_name": "KIMBERLY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute of Art Therapy
• Cary Frederick Irons III, M.C.
• Iris W Jackola
• Jaime Stein
• Jamie Gutterman LCSW PLLC
• Patrick Thomas Jeffs, PHD, LPCA
• John Moriarty, DDS, Ms, PA
• Ashley Osborne Johnson, LCAS
• Julie Tinsley Jones, PHARMD
• Kaneisha Latris Jones

• Mental Health Counselor in Carrboro, NC
• Providers in Carrboro, 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 Feb 24, 2011; 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.