KATELIN ROSE THAMES MA, LPC, LMHC
NPI 1700459575
Counselor - Mental Health in North Charleston, SC

Active since July 20, 2021Opted out of Medicare · through Dec 13, 2026
4644 WITHERS DR, NORTH CHARLESTON, SC 29405(843) 813-9717 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Jun 7, 2024, May 3, 2022 and 1 more (4 updates tracked since 2021).

About Katelin Rose Thames Ma, Lpc, Lmhc NPPES

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

KATELIN ROSE THAMES MA, LPC, LMHC (NPI 1700459575) is an individual mental health provider in North Charleston, South Carolina, licensed in South Carolina (8219) and active in the NPI registry since July 2021. She has opted out of Medicare through December 13, 2026 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700459575
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATELIN ROSE THAMESCredential: MA, LPC, LMHC
Location Address4644 WITHERS DRNorth Charleston, SC 29405
Mailing Address4644 Withers DrNorth Charleston, SC 29405-6772 · (843) 937-1934
Sole ProprietorNo
Enumeration DateJuly 20, 2021
Last NPPES UpdateDecember 13, 20244 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1700459575 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
Licenses Licensed in SC · 8219 Licensed in FL · TPMC4866 Licensed in DE · MI-0000180 Licensed in MA · LMHC10001993
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 8219 (SC)
4644 WITHERS DR, North Charleston, SC 29405

Secondary Practice Locations 2

Location 1886 Johnnie Dodds BlvdMount Pleasant, SC 29464-3190 · Phone (843) 937-1934
Location 21495 Remount RdNorth Charleston, SC 29406-3320 · Phone (843) 937-1934

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Katelin Rose Thames Ma, Lpc, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 13, 2024 through December 13, 2026.

Opt-Out Effective DateDecember 13, 2024
Opt-Out In Effect ThroughDecember 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4644 WITHERS DR
NORTH CHARLESTON, SC 29405

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 Katelin Thames's NPI number?

The NPI number for Katelin Thames is 1700459575. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Katelin Thames located?

Katelin Thames practices at 4644 Withers Dr, North Charleston, SC 29405. The listed phone number is (843) 813-9717.

What is Katelin Thames's specialty?

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

Is Katelin Thames enrolled in Medicare?

No. Katelin Thames has opted out of Medicare through December 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Katelin Thames was last updated on December 13, 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.