Krista Anne Nordgren, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18487 Issued in NC

Practice address

3326 Durham Chapel Hill Blvd Ste 130B
Durham, NC 27707-6244

Phone

(919) 267-1661

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Carolina Therapy Professionals, PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1386393775

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1679275176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 DURHAM CHAPEL HILL BLVD STE 130B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 DURHAM CHAPEL HILL BLVD STE 130B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076244",
            "telephone_number": "919-267-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDGREN",
        "first_name": "KRISTA",
        "middle_name": "ANNE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Clark Nolte, PA-C
• Freylen Erna Lustria Nonato, FNP
• Nora'S Home Care, LLC
• Christopher Daniel Norberg, MD
• William Norcross, M.D.
• Victoria Elizabeth Nordman, MD
• Nordstrom Inc & Subsidiaries
• Dionshay Nicole Norfleet, M.A.
• Taylor Noriega, PA-C
• Heather Michelle Norman-Scott, PH.D.

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.