Kristi Killough Painter, MA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19898 Issued in NC

Practice address

257 Church St NE
Concord, NC 28025-4763

Phone

(980) 263-9791

Fax

(980) 217-4762

NPI assigned

Apr 11, 2024

Last updated

Apr 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristi Joanna Leigh Killough Former name

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolution Counseling Associates

  • Counselor
  • Concord, NC
  • NPI 1255930947
  NPD

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1467205070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 CHURCH ST NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254763",
            "telephone_number": "980-263-9791",
            "fax_number": "980-217-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 CHURCH ST NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254763",
            "telephone_number": "980-263-9791",
            "fax_number": "980-217-4762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Sims Pkwy",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "NC",
            "postal_code": "280757627",
            "country_code": "US",
            "telephone_number": "980-263-9791",
            "fax_number": "980-217-4762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "KRISTI",
        "middle_name": "KILLOUGH",
        "name_prefix": "Ms.",
        "credential": "MA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "KILLOUGH",
            "middle_name": "JOANNA LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caroline Ogbum Pace
• Jackie B Pace, FNP
• Tory S Page
• Corey Paige
• Pain MD LLC
• Rivers Painter
• Ashley Fowler Painther, PHARM D.
• Cheyenne Palafox
• Joseph Michael Palazzi
• Kinnera Palla

• Mental Health Counselor in Concord, NC
• Providers in Concord, 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 Apr 11, 2024; 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.