Active NPI
Kristina Faulkner, M.S., NCC, LPCA
- Mental Health Counselor
- Apex, NC
National Provider Identifier
1487018453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A12165
- Practice address
- 123 Wirks Worth Cir
Apex, NC 27502-3650 - Phone
- (513) 340-0099
- NPI assigned
- Apr 6, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A12165 | NC | |
| Mental Health Counselor | 101YM0800X | A12165 | NC | Primary |
| Professional Counselor | 101YP2500X | A12165 | NC |
Addresses
Primary practice location
123 Wirks Worth Cir
Apex, NC 27502-3650
Mailing address
123 Wirks Worth Cir
Apex, NC 27502-3650
Phone (513) 340-0099
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12165 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1487018453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 WIRKS WORTH CIR",
"city": "APEX",
"state": "NC",
"postal_code": "275023650",
"telephone_number": "513-340-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 WIRKS WORTH CIR",
"city": "APEX",
"state": "NC",
"postal_code": "275023650",
"telephone_number": "513-340-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "KRISTINA",
"credential": "M.S., NCC, LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-06",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "A12165",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A12165",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12165",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.