Active NPI
Kristan Hennessee Hinson, LPC
- Professional Counselor
- Brevard, NC
National Provider Identifier
1649555731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14303
- Practice address
- 69 N Broad St
Brevard, NC 28712-3725 - Phone
- (828) 631-3973
- NPI assigned
- Oct 20, 2011
- 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 | |||
| Professional Counselor | 101YP2500X | 14303 | NC | Primary |
Addresses
Primary practice location
69 N Broad St
Brevard, NC 28712-3725
Mailing address
PO Box 2187
Sylva, NC 28779-2187
Phone (828) 631-3973
Other practice location 1
1547 Parkway
Suite 100
Greenwood, SC 29646
Phone (864) 229-7120 ext. 120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421504 | Medicaid | SC |
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 |
|---|---|---|---|
| 14303 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1649555731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2187",
"city": "SYLVA",
"state": "NC",
"postal_code": "287792187",
"telephone_number": "828-631-3973",
"fax_number": "828-631-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 N BROAD ST",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123725",
"telephone_number": "828-631-3973"
}
],
"practiceLocations": [
{
"address_1": "1547 Parkway",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "29646",
"country_code": "US",
"telephone_number": "864-229-7120 x120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINSON",
"first_name": "KRISTAN",
"middle_name": "HENNESSEE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "14303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421504",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
- Henderson County Hospital Corporation (Pardee BlueMD-1409 Asheville Highway)
- Henderson County Hospital Corporation (Pardee BlueMD 277 North Broad Street Suite 1)
- Henderson County Hospital Corporation (Pardee Rx Brevard)
- Karin Kay Hetherington, P.T.
- Lauren Nicole Hierholzer, DPT
- Lester Earl Hinson, LCMHC, LCAS
- James A Hoffmeister, M.D.
- Catherine M Holland, MA, LPC, LMHC
- Julie Kay Holt, PTA
- Karen Ruth Hubert, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.