Individual provider Active NPI

Kelsey Hargrove, NCC, LPC

  • Professional Counselor
  • Durham, NC
National Provider Identifier
1497112429
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A12144 Issued in NC
Practice address
3616 Shannon Rd Ste 200
Durham, NC 27707-3532
Phone
(919) 551-5506
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A12144 NC Primary

Addresses

Primary practice location

3616 Shannon Rd Ste 200
Durham, NC 27707-3532

Mailing address

3616 Shannon Rd Ste 200
Durham, NC 27707-3532
Phone (919) 551-5506

Other practice location 1

5710 Arringdon Park Dr Apt 934
Morrisville, NC 27560-6308
Phone (980) 297-1243

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

State licenses

LicenseStateTypeSpecialty
A12144NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1497112429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 SHANNON RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073532",
            "telephone_number": "919-551-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 SHANNON RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073532",
            "telephone_number": "919-551-5506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5710 Arringdon Park Dr Apt 934",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275606308",
            "country_code": "US",
            "telephone_number": "980-297-1243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "KELSEY",
        "credential": "NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.