NPIMap

Organization Active NPI

KV Consultants & Associates Inc

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1700856788
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3413 Issued in NC
Legal business name
KV CONSULTANTS & ASSOCIATES INC
Practice address
803 Stamper Rd Ste G
Fayetteville, NC 28303-4193
Phone
(910) 223-7114
Fax
(910) 550-3803
NPI assigned
Jan 24, 2006
Last updated
Apr 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Authorized official

Name
Richard Varela
Title
Licensed Professional Counselor
Phone
(910) 223-7114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3413 NC Primary

Addresses

Primary practice location

803 Stamper Rd Ste G
Fayetteville, NC 28303-4193

Mailing address

803 Stamper Rd Ste G
Fayetteville, NC 28303-4193
Phone (910) 223-7114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160830003002 NC Part B Supplier - Clinic/Group Practice 0648566653 Receives reassigned benefits from 3 practitioners
Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory
Tax ID family
KV Consultants Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

803 Stamper Rd
Ste G
Fayetteville, NC 28303
Phone (910) 223-7114

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1700856788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 STAMPER RD STE G",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034193",
            "telephone_number": "910-223-7114",
            "fax_number": "910-550-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 STAMPER RD STE G",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034193",
            "telephone_number": "910-223-7114",
            "fax_number": "910-550-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KV CONSULTANTS & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "VARELA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "910-223-7114"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.