Kimberly Sue Mason, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8929 Issued in NC

Practice address

293 Olmsted Blvd Ste 11B-9
Pinehurst, NC 28374-9181

Phone

(910) 690-3697

NPI assigned

Jun 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Kim Mason, PLLC

  • Community/Behavioral Health Agency
  • Pinehurst, NC
  • NPI 1295599843
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1922446491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CHOKE CHERRY LN",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749344",
            "telephone_number": "910-603-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 OLMSTED BLVD STE 11B-9",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749181",
            "telephone_number": "910-690-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2023-12-04",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Martin
• Lawrence W Martin, MD
• Mary Cox, D.O., PLLC
• Samantha Mashak
• Kathleen A Mason, M.S., R.D., L.D.
• Pavielle Mason
• Elizabeth Leanna Mataxis, OTR
• Zyaja Mattocks
• Max Motion Physical Therapy LLC
• Max Motion Physical Therapy, LLC

• Mental Health Counselor in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.