Samiya Kinney, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A23379 Issued in NC

Practice address

607 Wicker St
Sanford, NC 27330-4151

Phone

(919) 292-2614

Fax

(919) 964-3374

NPI assigned

Oct 20, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1467115071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 WICKER ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304151",
            "telephone_number": "919-292-2614",
            "fax_number": "919-964-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WICKER ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304151",
            "telephone_number": "919-292-2614",
            "fax_number": "919-964-3374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 E Colorado Blvd Ste 560",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911062380",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "SAMIYA",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A23379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor David Kim, MD
• Kinetic Institute Physical Therapy, Inc
• Meredith Lindsay King, RD
• Susan Swan King, MSW, P-LCSW
• Theresa Gloria King
• Kelly Scott Kirby, MSN, APRN, FNP-C
• Jayme Lynn Kirk, OTR/L
• Micahla Nykol Kitchen
• Katelyn Kivett
• Dawn Elizabeth Kleinman, MD

• Mental Health Counselor in Sanford, NC
• Providers in Sanford, 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 Sep 8, 2026; 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.