Individual provider Active NPI

Kimberly Lea Skelton, LPC, LCAS

  • Mental Health Counselor
  • Asheville, NC
National Provider Identifier
1881900314
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC9497 Issued in NC
Practice address
25 Orange St
Asheville, NC 28801-2328
Phone
(828) 772-6715
Fax
(828) 378-0223
NPI assigned
Aug 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS1862 NC
Mental Health Counselor 101YM0800X LPC9497 NC Primary

Addresses

Primary practice location

25 Orange St
Asheville, NC 28801-2328

Mailing address

25 Orange St
Asheville, NC 28801-2328
Phone (828) 772-6715

Other names 1

  • Ms. Kimberly Skelton Hayes Former name

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
LCAS1862NCMDAddiction (Substance Use Disorder) Counselor
LPC9497NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Widening Circles, PC Current Accepting new patients

Locations

25 Orange St
Asheville, NC 28801
Phone (828) 273-0323

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1881900314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ORANGE ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012328",
            "telephone_number": "828-772-6715",
            "fax_number": "828-378-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ORANGE ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012328",
            "telephone_number": "828-772-6715",
            "fax_number": "828-378-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "KIMBERLY",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "LPC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-22",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS1862",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LPC9497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HAYES",
            "middle_name": "SKELTON",
            "prefix": "MS.",
            "credential": "LPC, LCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 18, 2019; 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.