Active NPI
Katherine E. Killham, LPC
- Professional Counselor
- Moncks Corner, SC
National Provider Identifier
1841699543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6117
- Practice address
- 403 Stoney Landing Road
Moncks Corner, SC 29461-3967 - Phone
- (843) 761-8282
- Fax
- (843) 761-7308
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6117 | SC | Primary |
Addresses
Primary practice location
403 Stoney Landing Road
Moncks Corner, SC 29461-3967
Mailing address
403 Stony Landing Rd
Moncks Corner, SC 29461-3967
Phone (843) 761-8282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435201 | Medicaid | SC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6117 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindness Counseling LLC | Mental Health | Past | Accepting new patients |
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| Berkeley Community Mental Health Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Exclusive Provider Organization
- Moncks Corner, SC
- NPI 1205065828
-
- Mental Health Counselor
- Charleston, SC
- NPI 1518779206
-
dba Berkeley Community Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moncks Corner, SC
- NPI 1508811324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1841699543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 STONY LANDING RD",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613967",
"telephone_number": "843-761-8282",
"fax_number": "843-761-7308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 STONEY LANDING ROAD",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613967",
"telephone_number": "843-761-8282",
"fax_number": "843-761-7308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLHAM",
"first_name": "KATHERINE",
"middle_name": "E.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2020-11-05",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "435201",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.