Organization Active NPI

LKN Counselors, PLLC

  • Mental Health Counselor
  • Davidson, NC
National Provider Identifier
1750813341
Registry record updated Apr 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10813 Issued in NC
Legal business name
LKN COUNSELORS, PLLC
Practice address
706 Northeast Dr
Ste 1
Davidson, NC 28036-7419
Phone
(704) 584-9071
Fax
(704) 909-4070
NPI assigned
Apr 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2017

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

Authorized official

Name
Jamie Lee Cheveralls, MA, NCC, LPC
Title
Owner
Phone
(617) 875-2982

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LCAS-3559 NC
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 10813 NC Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X A10862 NC
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X A12714 NC
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 10507 NC

Addresses

Primary practice location

706 Northeast Dr
Ste 1
Davidson, NC 28036-7419

Mailing address

PO Box 995
Davidson, NC 28036-0995
Phone (704) 584-9071

National Provider Directory

National Provider Directory

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491004800000",
    "number": "1750813341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 995",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280360995",
            "telephone_number": "704-584-9071",
            "fax_number": "704-909-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 NORTHEAST DR",
            "address_2": "STE 1",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367419",
            "telephone_number": "704-584-9071",
            "fax_number": "704-909-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKN COUNSELORS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-01",
        "last_updated": "2017-04-01",
        "status": "A",
        "authorized_official_last_name": "CHEVERALLS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-875-2982",
        "authorized_official_credential": "MA, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-3559",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10813",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10862",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12714",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2017; 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.