Caitlyn Jenkins Pabon, MS, NCC, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13653 Issued in NC

Practice address

34 Oleander Dr
Clayton, NC 27527-4599

Phone

(252) 678-3562

NPI assigned

Oct 12, 2020

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Loblolly Wellness Collective, PLLC

  • Professional Counselor
  • Knightdale, NC
  • NPI 1326865460
  NPD Authorized official

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1821696824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 MULBERRY LN UNIT E",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585744",
            "telephone_number": "252-678-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 OLEANDER DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275274599",
            "telephone_number": "252-678-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABON",
        "first_name": "CAITLYN",
        "middle_name": "JENKINS",
        "credential": "MS, NCC, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "13653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthos Physical Therapy Inc.
• Emily Ortman, MPH, RD, LD
• Jessica Christine Kuhn Owens, NP
• Michael Ray Owens, M.D.
• Gretchen N Paavola
• Mary Katrina Padgett, PA-C
• Emily Painter
• Melissa J Palmer, M.A., CCC-A
• Jimmy Nicolas Pan, DO
• Pandora Family Care Home LLC

• Professional Counselor in Clayton, NC
• Providers in Clayton, 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 Oct 12, 2020; 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.