Individual provider Active NPI

Katherine L Waldron, LCMHC ASSOCIATE

  • Professional Counselor
  • Concord, NC
National Provider Identifier
1598359606
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2324 Concord Lake Rd
Concord, NC 28025-2814
Phone
(346) 239-9469
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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 NU Primary

Addresses

Primary practice location

2324 Concord Lake Rd
Concord, NC 28025-2814

Mailing address

2324 Concord Lake Rd
Concord, NC 28025-2814
Phone (346) 239-9469

Other names 1

  • Katy L Waldron Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Counseling Professional CurrentSince Mar 7, 2021 Accepting new patients
In Truth Psychiatric Services LLC CurrentSince May 1, 2022 Accepting new patients
Rebellious Therapy Current Accepting new patients

Locations

2324 Concord Lake Rd
Concord, NC 28025
Phone (704) 918-1343

Organizations & group practices 3

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1598359606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 CONCORD LAKE RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252814",
            "telephone_number": "346-239-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 CONCORD LAKE RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252814",
            "telephone_number": "346-239-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "LCMHC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "WALDRON",
            "middle_name": "L",
            "credential": "LCMHC -A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.