Kingsley Road Counseling and Consulting Group, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KINGSLEY ROAD COUNSELING AND CONSULTING GROUP, PLLC

Practice address

6747 Fairview Rd Ste C
Charlotte, NC 28210-3359

Phone

(980) 285-3952

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Clay Church

Title

Owner

Phone

(980) 285-3952

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1477214641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 SELWYN FARMS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094030",
            "telephone_number": "980-285-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6747 FAIRVIEW RD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103359",
            "telephone_number": "980-285-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY ROAD COUNSELING AND CONSULTING GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-285-3952",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Hayward King
• Zaire Elissa King, MA, LMFT
• Kings Community Services
• Jessica R Kingsberry, PT, DPT
• David Lee Kingsbury, DC
• Sarah Apple Kingsley, PT, DPT
• Erin Flinn Kingston, LCWSA
• Kini Corporation
• Brenna Ashford Kinkaid, M.ED., NCC
• Nakia Shanae Kinne, BCBA

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.