Active NPI
Kristin Nakhla, Therapist, PLLC
- Clinical Social Worker
- Holly Springs, NC
National Provider Identifier
1760172498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KRISTIN NAKHLA, THERAPIST, PLLC
- Practice address
- 300 W Earp St
Holly Springs, NC 27540-8763 - Phone
- (919) 753-5717
- NPI assigned
- May 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Lee Nakhla, LCSW
- Title
- Owner, Therapist
- Phone
- (919) 753-5717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
300 W Earp St
Holly Springs, NC 27540-8763
Mailing address
104 Sunset Grove Dr
Holly Springs, NC 27540-6805
Phone (919) 753-5717
Other names 1
- Be Still
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Holly Springs, NC
- NPI 1205390994
-
- Clinical Social Worker
- Durham, NC
- NPI 1164154464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683504000000",
"number": "1760172498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SUNSET GROVE DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275406805",
"telephone_number": "919-753-5717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W EARP ST",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275408763",
"telephone_number": "919-753-5717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTIN NAKHLA, THERAPIST, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A",
"authorized_official_last_name": "NAKHLA",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "919-753-5717",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Be Still",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Holly Springs, NC
- Jon Kramer
- Beverly Kreitzer
- Andrew John Krieger, M.D.
- Kristen H Fritz DDS Ms and M Cliff Wilson DDS Ms
- Kristen H. Fritz, D.D.S., M.S. & Todd S. Bovenizer, D.D.S., M.S., P.a.
- Steven E Kroupa, PH.D.
- Rachel Lynn Kwiatkowski
- Catherine Dull Ladd, MSW, LCSW
- Peighton Laffin, OTR/L
- Crystal Renee Landtroop, MA, NCC, LCMHCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.