Kimberly Beth McIntyre, MS, LCMHCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4144 Issued in NC

Practice address

300 E Arlington Blvd Ste 1
Greenville, NC 27858-5037

Phone

(252) 717-9917

NPI assigned

Mar 1, 2007

Last updated

Feb 27, 2021By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1811025042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 TRAFALGAR RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909854",
            "telephone_number": "252-717-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E ARLINGTON BLVD STE 1",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585037",
            "telephone_number": "252-717-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "KIMBERLY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MS, LCMHCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102136",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "138FA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy W McGuire, MD
• Caden McIntire
• Natalie Brown McIntosh, OD
• Scott J McIntosh, OD
• Thomas C McIntosh, O.D.
• Barbara J McKay, LCASA
• Anna McKee, DO
• Sherlyn McKee
• Tony Patrick McKee, LCSW
• Brooke Elizabeth McKenzie, LMSW, QIDP

• Professional Counselor in Greenville, NC
• Providers in Greenville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.