Carol C Kirby, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3780 Issued in NC

Practice address

8044 Market St Unit D
Wilmington, NC 28411-9384

Phone

(910) 686-3505

Fax

(910) 821-5116

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Porters Neck Psychological Services PLLCGroup PAC ID 9931394996, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Porters Neck Psychological Services, PLLC

  • Psychologist
  • Wilmington, NC
  • NPI 1265750681
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1902905359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 MARKET ST UNIT D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119384",
            "telephone_number": "910-686-3505",
            "fax_number": "910-821-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 MARKET ST UNIT D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119384",
            "telephone_number": "910-686-3505",
            "fax_number": "910-821-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "CAROL",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3780",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102639",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Clark Kinnebrew, M.D., D.D.S.
• Karen A Kinney, MD
• Molly Nicole Kinnisten
• Crystal Kinser
• Lauren Kipar-Gunning
• Edgar Wilson Kirby IV, M.D.
• Hayden Pappas Kirby, M.D.
• Lucy Kirby
• Brittany A Kirchner, M.S., CCC-SLP
• Laura Kirchner, PHARMD

• Professional Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.