Individual provider Active NPI

Kylie Cain

  • Marriage & Family Therapist
  • Boone, NC
National Provider Identifier
1821665092
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
145 Boone Cir Unit 2
Boone, NC 28607-0555
Phone
(209) 985-4537
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

145 Boone Cir Unit 2
Boone, NC 28607-0555

Mailing address

145 Boone Cir Unit 2
Boone, NC 28607-0555
Phone (209) 985-4537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122000642 NC Practitioner - Marriage and Family Therapist 5890224778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QC Wellness Collective PLLCGroup PAC ID 7012448947, 6 clinicians

Practice addresses (Care Compare)

8832 Blakeney Professional Dr
Suite 300
Charlotte, NC 28277-6717
Phone (980) 446-3567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
QC Wellness Collective, PLLC CurrentSince Oct 28, 2024 Accepting new patients

Locations

8832 Blakeney Professional Dr
Ste 300
Charlotte, NC 28277
Phone (980) 446-3567

6115 Park South Dr
Ste 135
Charlotte, NC 28210
Phone (704) 285-0241

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1821665092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BOONE CIR UNIT 2",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286070555",
            "telephone_number": "209-985-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BOONE CIR UNIT 2",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286070555",
            "telephone_number": "209-985-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "KYLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.