KIMBERLY LANE NELSON LPC NPI 1356497325

NPI Information

NPI: 1356497325
Provider Name: KIMBERLY LANE NELSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
140 KIMEL PARK DR STE 101
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 718-7280
Get Directions

Kimberly Lane Nelson, LPC is a professional counselor in Winston Salem, NC. Kimberly Lane Nelson, LPC NPI is 1356497325. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

140 KIMEL PARK DR STE 101
WINSTON SALEM, NC
ZIP 27103-185
Phone: (336) 718-7280
Fax: (336) 718-7290

The enumeration date for this NPI number is 1/25/2007 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	4349	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6102130	MEDICAID	NORTH CAROLINA
2	137PU	OTHER	NORTH CAROLINA	MENTAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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