Active NPI
Kimberly Christine Thornton, LCMHCA
- Counselor
- Raleigh, NC
National Provider Identifier
1558943803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A15000
- Practice address
- 5510 Six Forks Rd Ste 125
Raleigh, NC 27609-3884 - Phone
- (919) 861-4111
- NPI assigned
- Apr 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A15000 | NC | Primary |
Addresses
Primary practice location
5510 Six Forks Rd Ste 125
Raleigh, NC 27609-3884
Mailing address
5304 Daydream Dr
Raleigh, NC 27616-4332
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 |
|---|---|---|---|
| A15000 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1558943803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5304 DAYDREAM DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276164332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5510 SIX FORKS RD STE 125",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093884",
"telephone_number": "919-861-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "KIMBERLY",
"middle_name": "CHRISTINE",
"credential": "LCMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A15000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.