Individual provider Active NPI

Kaitlyn Iva Singleton

  • Mental Health Counselor
  • Indian Trail, NC
National Provider Identifier
1811733512
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19364 Issued in NC
Practice address
120 Unionville Indian Trail Rd W Ste B
Indian Trail, NC 28079-5665
Phone
(704) 438-9901
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A19364 NC Primary

Addresses

Primary practice location

120 Unionville Indian Trail Rd W Ste B
Indian Trail, NC 28079-5665

Mailing address

5355 Pinehurst Park Dr Apt 457
Charlotte, NC 28211-5329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A19364NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1811733512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 PINEHURST PARK DR APT 457",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 UNIONVILLE INDIAN TRAIL RD W STE B",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795665",
            "telephone_number": "704-438-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON",
        "first_name": "KAITLYN",
        "middle_name": "IVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.