Individual provider Active NPI

Jennifer Kreimer, LCMHC

  • Counselor
  • Cary, NC
National Provider Identifier
1457726366
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
10933 Issued in NC
Practice address
102 Commonwealth CT Ste B
Cary, NC 27511-4437
Phone
(919) 880-6643
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 10933 NC Primary

Addresses

Primary practice location

102 Commonwealth CT Ste B
Cary, NC 27511-4437

Mailing address

102 Commonwealth CT Ste B
Cary, NC 27511-4437
Phone (919) 880-6643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423003787 NC Practitioner - Mental Health Counselor 2769908680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

102 Commonwealth CT
Suite B
Cary, NC 27511-4437
Phone (919) 880-6643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10933NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Kreimer Counseling PLLC CurrentSince Jan 23, 2025 Accepting new patients

Locations

102 Commonwealth Ct
Ste B
Cary, NC 27511
Phone (828) 408-0081

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1457726366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 COMMONWEALTH CT STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114437",
            "telephone_number": "919-880-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COMMONWEALTH CT STE B",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114437",
            "telephone_number": "919-880-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIMER",
        "first_name": "JENNIFER",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "10933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.