Alexis Kim

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1240 SE Maynard Rd Ste 203
Cary, NC 27511-6946

Phone

(919) 636-0762

Fax

(855) 678-6632

NPI assigned

Dec 16, 2020

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

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.

• Simply Teen Outpatient

  • Community/Behavioral Health Agency
  • Apex, NC
  • NPI 1730859513
  NPD
• Tina Winemiller Therapy LLC

  • Mental Health Counselor
  • Cary, NC
  • NPI 1306297213
  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1760078463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 SE MAYNARD RD STE 203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116946",
            "telephone_number": "919-636-0762",
            "fax_number": "855-678-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 SE MAYNARD RD STE 203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116946",
            "telephone_number": "919-636-0762",
            "fax_number": "855-678-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kildaire Counseling PLLC
• Jerrod Killillay
• Layla Marie Kilmer
• Piper Phin Kilpatrick, M.D.
• Kim a. Miller, DDS,PA
• Katelyn Mariko Kim, MD
• Kirstin Kim
• Sarah Yeon Kim, AGPCNP-BC
• Susan Kim, M.S., CCC-SLP
• Kimberly Lin, DDS, PLLC

• Mental Health Counselor in Cary, NC
• Providers in Cary, 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 Dec 16, 2020; 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.