Active NPI
Kristy Orum
- Mental Health Counselor
- Charleston, SC
National Provider Identifier
1740797547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6729
- Practice address
- 29 Leinbach Dr Ste D2
Charleston, SC 29407-7086 - Phone
- (843) 501-7001
- NPI assigned
- Jan 3, 2018
- Last updated
- Jan 3, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6729 | SC | Primary |
Addresses
Primary practice location
29 Leinbach Dr Ste D2
Charleston, SC 29407-7086
Mailing address
1087 Black Rush Cir
Mount Pleasant, SC 29466-8082
Phone (281) 825-6296
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 |
|---|---|---|---|
| 6729 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kind Minds Counseling of Utah LLC | Current | Accepting new patients |
Interoperability endpoints
- innerpeacecounselingofutah.kristyorum@151304.advancedmd-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Sandy, UT
- NPI 1013750496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514937600000",
"number": "1740797547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1087 BLACK RUSH CIR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294668082",
"telephone_number": "281-825-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 LEINBACH DR STE D2",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077086",
"telephone_number": "843-501-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORUM",
"first_name": "KRISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-03",
"last_updated": "2018-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "6729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
- Orthodontic Specialists of Carolina, PC
- Orthopaedic Associates of Charleston, PA
- Orthopaedic Specialists of Charleston
- Orthopaedic Specialists of Charleston
- Trish Kimberly Ortiz, CRNA
- Ray Thomas Orvin III
- Kelly Elizabeth Orwat, M.D.
- Davis Martin Osborn, MD
- Ashley Denise Osborne, MD
- Ashton Coons Osborne, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.