Individual provider Active NPI

Juliet Lam Kuehnle, LCMHCS

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1891083093
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
S8919 Issued in NC
Practice address
5970 Fairview Rd Ste 126
Charlotte, NC 28210-2100
Phone
(704) 412-8830
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8919 NC
Professional Counselor 101YP2500X S8919 NC Primary

Addresses

Primary practice location

5970 Fairview Rd Ste 126
Charlotte, NC 28210-2100

Mailing address

420 Eli St
Charlotte, NC 28204-3122
Phone (704) 412-8830

Other practice location 1

6060 Piedmont Row Dr S
Suite 120
Charlotte, NC 28287-3884
Phone (704) 552-0116

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
8919NCMDProfessional Counselor
S8919NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Juliet Lam Kuehnle, Lcmhc, PLLC CurrentSince Nov 15, 2020 Accepting new patients

Locations

5970 Fairview Rd
Ste 126
Charlotte, NC 28210
Phone (704) 412-8830

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1891083093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ELI ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043122",
            "telephone_number": "704-412-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 FAIRVIEW RD STE 126",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102100",
            "telephone_number": "704-412-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6060 Piedmont Row Dr S",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282873884",
            "country_code": "US",
            "telephone_number": "704-552-0116",
            "fax_number": "704-552-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUEHNLE",
        "first_name": "JULIET",
        "middle_name": "LAM",
        "name_prefix": "Mrs.",
        "credential": "LCMHCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8919",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S8919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.