Active NPI
Kiri Skiles
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1578062501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17534
- Practice address
- 3303 Latrobe Dr
Charlotte, NC 28211-4851 - Phone
- (704) 362-2663
- NPI assigned
- Feb 5, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 089284 | IA | |
| Mental Health Counselor | 101YM0800X | 17534 | NC | Primary |
Addresses
Primary practice location
3303 Latrobe Dr
Charlotte, NC 28211-4851
Mailing address
3303 Latrobe Dr
Charlotte, NC 28211-4851
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17534 | Other | NC | STATE LICENSE |
| 089284 | Other | IA | STATE LICENSE |
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 |
|---|---|---|---|
| 089284 | IA | MD | Mental Health Counselor |
| 17534 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1578062501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 LATROBE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 LATROBE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114851",
"telephone_number": "704-362-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKILES",
"first_name": "KIRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-05",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "089284",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "17534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "17534",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "089284",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.