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KINGDOM CREATIVE COUNSELING PLLC
NPI 1700313780
Counselor - Mental Health in Greensboro, NC

Active since May 22, 2017
1050 REVOLUTION MILL DR STE 2, GREENSBORO, NC 27405(336) 543-0159(336) 663-2906 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Jul 21, 2022, Oct 25, 2018 and 2 more (5 updates tracked since 2017).

About Kingdom Creative Counseling Pllc NPPES

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

KINGDOM CREATIVE COUNSELING PLLC (NPI 1700313780), doing business as Samaria M Colbert, is a healthcare organization registered as a mental health in Greensboro, North Carolina and active in the NPI registry since May 2017. The organization lists Samaria M Colbert, Owner, as its authorized official.

NPPES Registry Identity

NPI1700313780
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameKINGDOM CREATIVE COUNSELING PLLC
Location Address1050 REVOLUTION MILL DR STE 2Greensboro, NC 27405-5053
Mailing AddressPo Box 14222Greensboro, NC 27415-4222 · (336) 543-0159 · Fax (336) 663-2906
Phone(336) 543-0159
Fax(336) 663-2906
Organization SubpartNo
Authorized OfficialSamaria M ColbertOwner · (336) 543-0159
Enumeration DateMay 22, 2017
Last NPPES UpdateDecember 18, 20245 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1700313780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · C007049
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C007049 (NC)
1050 REVOLUTION MILL DR STE 2, Greensboro, NC 27405
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Other Names 1

Former Legal Business NameSamaria M Colbert

Other Identifiers 1

Medicaid1699077396NC

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 Kingdom Creative Counseling PLLC's NPI number?

The NPI number for Kingdom Creative Counseling PLLC is 1700313780. It was assigned to this organization in the NPPES registry on May 22, 2017. The provider was formerly known as Samaria M Colbert.

Where is Kingdom Creative Counseling PLLC located?

Kingdom Creative Counseling PLLC is located at 1050 Revolution Mill Dr Ste 2, Greensboro, NC 27405. The listed phone number is (336) 543-0159.

What is Kingdom Creative Counseling PLLC's specialty?

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

What insurance does Kingdom Creative Counseling PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Kingdom Creative Counseling PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kingdom Creative Counseling PLLC was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.