KENYAH MONET MICKENS-SMITH (NPI# 1831706704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831706704 |
| Entity Type | Individual |
| Full Name | KENYAH MONET MICKENS-SMITH |
| Credential | LMFTA, LCAS |
| Practice Address |
300 Copperfield Blvd Ne Concord NC 28025-2428 |
| Mailing Address |
515 Clanton Rd Charlotte NC 28217-1309 |
| Practice Telephone | 7047823131 |
| Mailing Telephone | 7047823131 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
300 COPPERFIELD BLVD NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528364775 | Cynthia Kerr | Counselor | 300 Copperfield Blvd Ne, Suite 105, Concord, NC 28025-2428 | 2011-02-07 |
| 1780230771 | Taylor Cheek | Social Worker | 300 Copperfield Blvd Ne, Concord, NC 28025-2428 | 2019-08-15 |
| 1104308287 | Cassiel Sundiata Sterling Smith | Counselor | 300 Copperfield Blvd Ne, Concord, NC 28025-2428 | 2018-09-05 |
| 1770017402 | Tyela Smith | Social Worker | 300 Copperfield Blvd Ne, Suite 105, Concord, NC 28025-2428 | 2017-04-19 |
| 1881131498 | Mylyia Bowers Newton | Marriage & Family Therapist | 300 Copperfield Blvd Ne, Concord, NC 28025-2428 | 2017-01-21 |
| 1619336799 | Trevor Ashe | Marriage & Family Therapist | 300 Copperfield Blvd Ne, Suite 105, Concord, NC 28025-2428 | 2016-02-17 |
| 1174995013 | Pi Yang | Marriage & Family Therapist | 300 Copperfield Blvd Ne, # 105, Concord, NC 28025-2428 | 2015-10-29 |
| 1326418096 | David Brandon Blackmon | Marriage & Family Therapist | 300 Copperfield Blvd Ne, Suite 105, Concord, NC 28025-2428 | 2015-10-06 |
| 1811384571 | Rita Underwood | Registered Nurse | 300 Copperfield Blvd Ne, Concord, NC 28025-2428 | 2015-04-21 |
| 1053701482 | Andrea Allison Groves | Counselor | 300 Copperfield Blvd Ne, Concord, NC 28025-2428 | 2015-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436268 | Josette Hoffman Skinner | Counselor | 51 Park Dr Sw, Concord, NC 28027-7029 | 2020-10-29 |
| 1811504574 | Kaci Tolen | Counselor | 2085 Solano Way Apt A, Concord, CA 94520-4781 | 2020-09-28 |
| 1407496391 | Amanda J Deprosse | Counselor | 4713 Curletto Dr, Concord, CA 94521-2125 | 2020-01-09 |
| 1093357634 | Virginia Ann Booth | Counselor | 1470 Civic Ct # 100, Concord, CA 94520-5290 | 2019-10-15 |
| 1538726146 | Ashley Halabi | Counselor | 250 Pleasant St Ste 5410, Concord, NH 03301-2598 | 2019-05-20 |
| 1578025383 | A New Pathway LLC | Counselor | 150 Piney Church Rd, Concord, NC 28025-7081 | 2019-04-01 |
| 1730660499 | Christopher Brian Mulcahy | Counselor | 4 Bicentennial Sq Ste 6, Concord, NH 03301-4069 | 2018-08-22 |
| 1235625666 | Elizabeth Pellegrini | Counselor | 90 Airport Rd Ste 17, Concord, NH 03301-5326 | 2018-07-09 |
| 1295249399 | Contra Costa County | Counselor | 2047c Arnold Industrial Way, Concord, CA 94520-5342 | 2017-11-28 |
| 1104362672 | David Swaim | Counselor | 1470 Civic Ct Ste 111, Concord, CA 94520-5290 | 2017-01-09 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on KENYAH MONET MICKENS-SMITH.
| 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.