Krista Ciaffone

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18122 Issued in NC

Practice address

3077 N Main St Ste 201
Hope Mills, NC 28348-1735

Phone

(910) 275-5766

Fax

(866) 990-0668

NPI assigned

Oct 10, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1972228211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 N MAIN ST STE 201",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481735",
            "telephone_number": "910-275-5766",
            "fax_number": "866-990-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 N MAIN ST STE 201",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481735",
            "telephone_number": "910-275-5766",
            "fax_number": "866-990-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAFFONE",
        "first_name": "KRISTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krista@divinewellnesstherapeutics.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3077 N Main St Ste 201",
            "city": "Hope Mills",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283481735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolina Complete Rehab Center of Hope Mills Inc
• Cedar & Stone Counseling PLLC
• Charles S. Maxwell DDS
• Shauniele Charles, M.S. CCC-SLP
• Charlotte Fitness and Wellness Center PLLC
• Mary K Clark
• Claymore Home
• Clinical Innovations
• Compassionate Care
• Tina Marie Cooper, MANAGER

• All providers in Hope Mills, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.