Individual provider Active NPI

Lauren Kearney

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1629893441
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A20799 Issued in NC
Practice address
3807 Wrightsville Ave Ste 24
Wilmington, NC 28403-8463
Phone
(910) 788-2375
NPI assigned
Nov 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A20799 NC Primary

Addresses

Primary practice location

3807 Wrightsville Ave Ste 24
Wilmington, NC 28403-8463

Mailing address

3803 Antelope TRL
Wilmington, NC 28409-3193
Phone (405) 831-7899

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

LicenseStateTypeSpecialty
A20799NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Wellness Mental Health CurrentSince Nov 24, 2024 Accepting new patients

Locations

3807 Wrightsville Ave
Ste 24
Wilmington, NC 28403
Phone (910) 788-2375

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1629893441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 ANTELOPE TRL",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093193",
            "telephone_number": "405-831-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 WRIGHTSVILLE AVE STE 24",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038463",
            "telephone_number": "910-788-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.