MRS. KATHLEEN JANE FETTER MS, LPC
NPI 1710005251
Counselor - Professional in Mooresville, NC
About Mrs. Kathleen Jane Fetter Ms, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KATHLEEN JANE FETTER MS, LPC (NPI 1710005251) is an individual professional provider in Mooresville, North Carolina, licensed in North Carolina (8643) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kathleen Jane Fetter Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Fetter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mooresville, NC 28117
- Reassigned Medicare billing, North Carolina enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
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 Kathleen Fetter's NPI number?
The NPI number for Kathleen Fetter is 1710005251. It was assigned to this individual provider in the NPPES registry on March 26, 2007.
Where is Kathleen Fetter located?
Kathleen Fetter practices at 134 Professional Park Dr Suite 400, Mooresville, NC 28117. The listed phone number is (704) 664-1029.
What is Kathleen Fetter's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kathleen Fetter enrolled in Medicare?
Yes. Kathleen Fetter is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Fetter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Fetter reassigns Medicare benefits to Miracles Healing Centers Inc (Mooresville, NC). The 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 Kathleen Fetter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Fetter accept?
Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kathleen Fetter 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 Kathleen Fetter was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Mrs. Kathleen Jane Fetter, MS, LPC · NPI 1710005251
Professional provider in Mooresville, North Carolina. Individual provider, active in the CMS NPPES registry since March 26, 2007.
## Identity
- **NPI:** 1710005251 (Entity type: Individual)
- **Enumerated:** March 26, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 8643 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 134 PROFESSIONAL PARK DR, SUITE 400, Mooresville, NC 28117-5599
- **Phone:** (704) 664-1029
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Miracles Healing Centers Inc (NPI 1962597732, Mooresville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** October 27, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1710005251) · Data from the CMS NPPES public registry.