Individual provider Active NPI

Kristin Holcombe Rappold, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Arden, NC
National Provider Identifier
1720436835
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-22523 Issued in NC
Practice address
233 Royal Pines Dr
Arden, NC 28704-2830
Phone
(828) 490-1321
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P018794 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-22523 NC Primary

Addresses

Primary practice location

233 Royal Pines Dr
Arden, NC 28704-2830

Mailing address

PO Box 1511
Arden, NC 28704-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-22523NCMDAddiction (Substance Use Disorder) Counselor
P018794NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Let It Grow Counseling CurrentSince Feb 19, 2023 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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1720436835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1511",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287041511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ROYAL PINES DR",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287042830",
            "telephone_number": "828-490-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPPOLD",
        "first_name": "KRISTIN",
        "middle_name": "HOLCOMBE",
        "credential": "LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018794",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-22523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

Verify at the official NPI Registry.