Active NPI
Kristin Marie Cain
- Addiction (Substance Use Disorder) Counselor
- Winterville, NC
National Provider Identifier
1457767196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-20525
- Practice address
- 2140 Vale CT
Winterville, NC 28590-8562 - Phone
- (252) 258-0244
- NPI assigned
- Jul 2, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11221 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-20525 | NC | Primary |
Addresses
Primary practice location
2140 Vale CT
Winterville, NC 28590-8562
Mailing address
2140 Vale CT
Winterville, NC 28590-8562
Phone (252) 258-0244
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-20525 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 11221 | NC | MD | General Acute Care Hospital |
Interoperability endpoints
- kristin.cain@direct.slhc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1457767196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 VALE CT",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285908562",
"telephone_number": "252-258-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 VALE CT",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285908562",
"telephone_number": "252-258-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "11221",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-20525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winterville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.