MRS. KRISTINA LEE DEMUTH (NPI# 1518480284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518480284 |
| Entity Type | Individual |
| Full Name | MRS. KRISTINA LEE DEMUTH |
| Credential | LPCA |
| Practice Address |
128 Hardin Dr Maysville NC 28555-9378 |
| Practice Telephone | (910) 650-1215 |
| Mailing Telephone | 9106501215 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
A12543 | NC | Behavioral Health & Social Service Providers |
| Street Address |
128 HARDIN DR |
| City | MAYSVILLE |
| State | NC |
| Zip Code | 28555-9378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989273 | Alaina Christine Weddle | Dietitian, Registered | 115 Waterford Way, Maysville, NC 28555 | 2019-09-03 |
| 1083084206 | Aci Support Specialists | Case Management | 301 4th St., Maysville, NC 28555 | 2015-09-30 |
| 1689016206 | Sue A. Minneman-fowler, Dds, Pllc | Dentist | 1002 Jenkins Anenue, Maysville, NC 28555 | 2013-07-24 |
| 1437311248 | Coastal Childrens Clinic | Pediatrics | 1004 Jenkins Avenue, Maysville, NC 28555 | 2008-07-02 |
| 1932216629 | Sue Ann Minneman-fowler | Dentist | 1002 Jenkins Avenue, Maysville, NC 28555 | 2006-08-25 |
| 1669842894 | Aci Support Specialists | Case Management | 402 Maple Ave, Maysville, NC 28555 | 2015-09-30 |
| 1225277163 | Wilson's Home Care Agency, Inc. | Technician | 506 Main St., Maysville, NC 28555-0331 | 2009-02-17 |
| 1932269792 | Nurses Plus Behavioral Health Services, LLC | Community/Behavioral Health | 378 Catfish Lake Rd., Maysville, NC 28555-0775 | 2006-12-11 |
| 1225294283 | Quality-care Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 402 Maple Avenue, Maple, NC 28555-0942 | 2008-07-30 |
| 1407052194 | Quality Care Behavioral Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 402 Maple Street, Maysville, NC 28555-0942 | 2007-06-21 |
| Find all providers in zip 28555 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902220569 | Jasmine Jackson | Counselor | 901 Us Highway 68 Ste 900, Maysville, KY 41056-9190 | 2014-02-18 |
| 1790246544 | Emily Fryman | Counselor | 611 Forest Ave, Maysville, KY 41056-1411 | 2019-03-26 |
| 1235690975 | Jennifer Nitz | Counselor | 611 Forest Ave, Maysville, KY 41056-1411 | 2019-03-26 |
| 1821565508 | Michael Frazer | Counselor | 611 Forest Ave, Maysville, KY 41056-1411 | 2018-10-31 |
| 1811476278 | Benjamin Cole | Counselor | 611 Forest Ave, Maysville, KY 41056-1411 | 2018-08-07 |
| 1457854663 | Ashley Roberts | Counselor | 611 Forest Ave, Maysville, KY 41056-1411 | 2018-03-14 |
| 1710488242 | Courtney Stanton-shaw | Counselor | 611 Forest Ave, Maysville, KY 41056-1411 | 2018-02-21 |
| 1013416676 | Lucille Marie Smith | Counselor | 217 Court St, Maysville, KY 41056-1105 | 2018-02-08 |
| 1902312747 | Felisha Mains | Counselor | 611 Forest Ave, Maysville, KY 41056-1411 | 2017-12-15 |
| 1659806834 | Amanda Morrison | Counselor | 611 Forest Ave, Maysville, KY 41056-1411 | 2017-04-26 |
| Find all providers in MAYSVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.