Kairos Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KAIROS COUNSELING, PLLC

Practice address

933 Louise Ave Ste 101T
Charlotte, NC 28204-2568

Phone

(704) 726-8580

Fax

(704) 454-7154

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Mr. David Matthew Roundtree Sr., LCSWNPI 1598015729

Title

Owner

Phone

(704) 454-7154

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• David Matthew Roundtree Sr., LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1598015729
  NPD Authorized official

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1811570740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6186 ROSEWAY CT",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280756509",
            "telephone_number": "704-454-7154",
            "fax_number": "704-454-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 LOUISE AVE STE 101T",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042568",
            "telephone_number": "704-726-8580",
            "fax_number": "704-454-7154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Union St S",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280255009",
            "country_code": "US",
            "telephone_number": "704-726-8580",
            "fax_number": "704-454-7154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAIROS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "ROUNDTREE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-454-7154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Abay Kahsay, MD
• Buse Kahyaoglu-Farah, BCBA, MS
• Joshua Joseph Kain, M.D.
• Rachael Lamere Kain, PA-C
• Shennelleh Kaine
• April Maryam Kaiser, FNP-BC
• Barbara J. Kaiser, DPM
• Kaitlyns Pharmacy Inc
• Athanasios Panagiotis Kakouras, D.M.D.
• Dionysios S Kakouras, MSW, LCSW, LCAS

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.