Individual provider Active NPI

Keanna L. Capnerhurst, LCMHC

  • Professional Counselor
  • Cary, NC
National Provider Identifier
1932417052
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8257 Issued in NC
Practice address
875 Walnut St Ste 300
Cary, NC 27511-4215
Phone
(919) 909-1080
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8257 NC Primary

Addresses

Primary practice location

875 Walnut St Ste 300
Cary, NC 27511-4215

Mailing address

100 Hundred Oaks LN
Holly Springs, NC 27540-4457
Phone (919) 909-1080

Other practice location 1

3620 Kildaire Farm Rd
Cary, NC 27518-8138
Phone (919) 909-1080

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
8257NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Freedom Counseling PLLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

875 Walnut St
Ste 300
Cary, NC 27511
Phone (919) 467-3661

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1932417052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HUNDRED OAKS LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275404457",
            "telephone_number": "919-909-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WALNUT ST STE 300",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114215",
            "telephone_number": "919-909-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Kildaire Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275188138",
            "country_code": "US",
            "telephone_number": "919-909-1080",
            "fax_number": "919-909-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPNERHURST",
        "first_name": "KEANNA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.