NPIMap

Organization Active NPI

Lydia Kickliter, LPC, LLC

  • Professional Counselor
  • Asheville, NC
National Provider Identifier
1851773121
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12763 Issued in NC
Legal business name
LYDIA KICKLITER, LPC, LLC
Practice address
29 Ravenscroft Dr Ste 102
Asheville, NC 28801-3655
Phone
(727) 643-5594
Fax
(855) 355-4064
NPI assigned
Jun 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Lydia Kickliter, LMHCNPI 1164763934
Title
Sole Member
Phone
(727) 643-5594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 12763 NC Primary

Addresses

Primary practice location

29 Ravenscroft Dr Ste 102
Asheville, NC 28801-3655

Mailing address

29 Ravenscroft Dr Ste 102
Asheville, NC 28801-3655
Phone (727) 643-5594

National Provider Directory

National Provider Directory

Locations

29 Ravenscroft Dr
Ste 102
Asheville, NC 28801
Phone (727) 643-5594

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1851773121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 RAVENSCROFT DR STE 102",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013655",
            "telephone_number": "727-643-5594",
            "fax_number": "855-355-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 RAVENSCROFT DR STE 102",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013655",
            "telephone_number": "727-643-5594",
            "fax_number": "855-355-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA KICKLITER, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "KICKLITER",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "727-643-5594",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.