Active NPI
Kaleidoscope Cares Therapeutic Services
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1972260743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KALEIDOSCOPE CARES THERAPEUTIC SERVICES
- Practice address
- 3523 Tuckland Dr
Raleigh, NC 27610-3688 - Phone
- (919) 792-8831
- NPI assigned
- Nov 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monique L Parr, LCMHC
- Title
- Owner
- Phone
- (919) 792-8831
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3523 Tuckland Dr
Raleigh, NC 27610-3688
Mailing address
3523 Tuckland Dr
Raleigh, NC 27610-3688
Phone (919) 792-8831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093225159 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1093225195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759190400000",
"number": "1972260743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3523 TUCKLAND DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276103688",
"telephone_number": "919-792-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3523 TUCKLAND DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276103688",
"telephone_number": "919-792-8831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALEIDOSCOPE CARES THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-29",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A",
"authorized_official_last_name": "PARR",
"authorized_official_first_name": "MONIQUE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-792-8831",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093225159",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.