Active NPI
Kelsey Luvender Garner, M.ED, NCC, LCMHC
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1982195509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12492
- Practice address
- 715 W Morgan St
Raleigh, NC 27603-1611 - Phone
- (919) 823-6724
- NPI assigned
- May 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12492 | NC | Primary |
Addresses
Primary practice location
715 W Morgan St
Raleigh, NC 27603-1611
Mailing address
8013 Morgans Way
Raleigh, NC 27615-2527
Phone (252) 412-2613
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12492 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creasman Counseling, PLLC | Professional | Current | Accepting new patients |
Locations
715 W Morgan St
Raleigh, NC 27603
Phone (919) 823-6724
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": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1982195509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8013 MORGANS WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276152527",
"telephone_number": "252-412-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W MORGAN ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031611",
"telephone_number": "919-823-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "KELSEY",
"middle_name": "LUVENDER",
"name_prefix": "Mrs.",
"credential": "M.ED, NCC, LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "12492",
"primary": true
}
],
"identifiers": [],
"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 Jun 10, 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.