Individual provider Active NPI

Kimberly Hinton Evans, MA, ED.M, LPC, NCC

  • Mental Health Counselor
  • Cary, NC
National Provider Identifier
1881922995
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S7541 Issued in NC
Practice address
115 Kildaire Park Dr Ste 402
Cary, NC 27518-8144
Phone
(855) 501-1004
NPI assigned
Dec 1, 2009
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00011168 WA
Mental Health Counselor 101YM0800X S7541 NC Primary
Professional Counselor 101YP2500X 7541 NC

Addresses

Primary practice location

115 Kildaire Park Dr Ste 402
Cary, NC 27518-8144

Mailing address

3835 N Freeway Blvd Ste 100
Suite 3
Sacramento, CA 95834-1954

Other practice location 1

1310 Raeford Rd
Suite 3
Fayetteville, NC 28305-5085
Phone (910) 920-0572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
S7541NCMDMental Health Counselor
LH00011168WAMDMental Health Counselor
7541NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mindpath Care Centers, North Carolina, PLLC Mental Health CurrentSince Jul 17, 2026 Accepting new patients
Carelon Medical Partners of North Carolina PC CurrentSince May 23, 2024 Accepting new patients

Locations

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

115 Kildaire Park Dr
Ste 402
Cary, NC 27518
Phone (919) 443-4100

1590 Skibo Rd
Ste 101
Fayetteville, NC 28303
Phone (910) 717-0676

Interoperability endpoints

  • Direct secure messaging: mpsc.kimberlyevans@114018.advancedmd-direct.com

Organizations & group practices 2

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": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1881922995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "address_2": "SUITE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 402",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "855-501-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Raeford Rd",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055085",
            "country_code": "US",
            "telephone_number": "910-920-0572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KIMBERLY",
        "middle_name": "HINTON",
        "name_prefix": "Mrs.",
        "credential": "MA, ED.M, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011168",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S7541",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.