Individual provider Active NPI

Ginelle Elisabeth Krummey, MA LCMHC NCC

  • Mental Health Counselor
  • Marshall, NC
National Provider Identifier
1548570815
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A14565 Issued in NC
Practice address
390 Huey Rd
Marshall, NC 28753-8176
Phone
(828) 548-1378
NPI assigned
Oct 20, 2010
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X A14565 NC Primary

Addresses

Primary practice location

390 Huey Rd
Marshall, NC 28753-8176

Mailing address

390 Huey Rd
Marshall, NC 28753-8176
Phone (412) 443-0877

Other practice location 1

1550 Treat Ave
San Francisco, CA 94110-5234
Phone (415) 641-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 1, 2024 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A14565NCMDMental Health Counselor
14565NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakes Children's Center, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1548570815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 HUEY RD",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287538176",
            "telephone_number": "412-443-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 HUEY RD",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287538176",
            "telephone_number": "828-548-1378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Treat Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941105234",
            "country_code": "US",
            "telephone_number": "415-641-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUMMEY",
        "first_name": "GINELLE",
        "middle_name": "ELISABETH",
        "credential": "MA LCMHC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, NC

Sources for this page

Verify at the official NPI Registry.