Individual provider Active NPI

Kristen Morris Spell

  • Mental Health Counselor
  • Concord, NC
National Provider Identifier
1639648306
Registry record updated Nov 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A14022 Issued in NC
Practice address
195 Lower Cape Dr SW Apt 107
Concord, NC 28027
Phone
(336) 344-4902
NPI assigned
Nov 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2018

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 A14022 NC Primary

Addresses

Primary practice location

195 Lower Cape Dr SW Apt 107
Concord, NC 28027

Mailing address

195 Lower Cape Dr SW Apt 107
Concord, NC 28027-0090

Other practice location 1

195 Lower Cape Dr SW Apt 107
Concord, NC 28027
Phone (336) 344-4902

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
A14022NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Counseling, PLLC Mental Health Current Accepting new patients

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": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543104000000",
    "number": "1639648306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 LOWER CAPE DR SW APT 107",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 LOWER CAPE DR SW APT 107",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "336-344-4902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Lower Cape Dr SW Apt 107",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "28027",
            "country_code": "US",
            "telephone_number": "336-344-4902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPELL",
        "first_name": "KRISTEN",
        "middle_name": "MORRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-25",
        "last_updated": "2018-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 25, 2018; 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.