Kelly Hogan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4581 Issued in NC

Practice address

640 Holly Ave
Winston-Salem, NC 27101

Phone

(336) 725-3999

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Trinity Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Winston Salem, NC
  • NPI 1700892478

  Mental Health

  NPD
• Trinity Center Inc

  • Counseling Psychologist
  • Winston Salem, NC
  • NPI 1780536383
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801964580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 W 4TH ST STE 301",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012434",
            "telephone_number": "336-725-3999",
            "fax_number": "336-725-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HOLLY AVE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-725-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Robert Hoffmann, MD
• William Gregory Hoffmann, MD
• Zachary Samuel Hoffmann, MD
• Devon Ann Hoffner, PA-C
• Justin Hofmann, MD
• Josh Benjamin Hogg
• Megan Demaria Hogg
• Gerald B Hogsette, MD
• D'Neil Hoke, CFO
• Brenda Lee Holbert, M.D.

• Mental Health Counselor in Winston-Salem, NC
• Providers in Winston-Salem, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.