Active NPI
Kristin Michele Cheshire, LPCA
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1548637754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A11635
- Practice address
- 913 Bluford St
Greensboro, NC 27401-3121 - Phone
- (336) 285-2605
- NPI assigned
- Aug 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A11635 | NC | Primary |
Addresses
Primary practice location
913 Bluford St
Greensboro, NC 27401-3121
Mailing address
913 Bluford St
Greensboro, NC 27401-3121
Phone (336) 285-2605
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
| License | State | Type | Specialty |
|---|---|---|---|
| A11635 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina a&T State University | Past | Accepting new patients | |
| North Carolina Agricultural and Technical State University | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1962887281
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1013272400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1548637754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 BLUFORD ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274013121",
"telephone_number": "336-285-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 BLUFORD ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274013121",
"telephone_number": "336-285-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESHIRE",
"first_name": "KRISTIN",
"middle_name": "MICHELE",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.