KAM'S CORNER, LLC
NPI 1235829722
Counselor - Mental Health in Stuart, VA

Active since May 09, 2023
120 E BLUE RIDGE STREET, STUART, VA 24171(276) 734-3421 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kam's Corner, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAM'S CORNER, LLC (NPI 1235829722) is a healthcare organization registered as a mental health in Stuart, Virginia and active in the NPI registry since May 2023. The organization lists Tina Nicole Street, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235829722
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameKAM'S CORNER, LLC
Location Address120 E BLUE RIDGE STREETStuart, VA 24171
Mailing Address1612 Faircrest LnGreensboro, NC 27406-9809 · (276) 734-3421
Organization SubpartNo
Authorized OfficialTina Nicole StreetCeo · (276) 734-3421
Enumeration DateMay 9, 2023
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1235829722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
120 E BLUE RIDGE STREET, Stuart, VA 24171

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kam's Corner, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kam's Corner, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1740872092
3506 FARMINGTON DR APT D
Greensboro, NC 27407
(276) 734-3421
✔ PECOS48 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kam's Corner, LLC's NPI number?

The NPI number for Kam's Corner, LLC is 1235829722. It was assigned to this organization in the NPPES registry on May 9, 2023.

Where is Kam's Corner, LLC located?

Kam's Corner, LLC is located at 120 E Blue Ridge Street, Stuart, VA 24171. The listed phone number is (276) 734-3421.

What is Kam's Corner, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kam's Corner, LLC enrolled in Medicare?

Yes. Kam's Corner, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kam's Corner, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kam's Corner, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kam's Corner, LLC was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.