MRS. KATHLEEN JANE FETTER MS, LPC
NPI 1710005251
Counselor - Professional in Mooresville, NC

Active since March 26, 2007PECOS Enrolled
134 PROFESSIONAL PARK DR, SUITE 400, MOORESVILLE, NC 28117(704) 664-1029 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1710005251
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KATHLEEN JANE FETTERCredential: MS, LPC
Location Address134 PROFESSIONAL PARK DR, SUITE 400Mooresville, NC 28117-5599
Mailing Address127 W Maranta RdMooresville, NC 28117-6337 · (201) 925-2367 · Fax (704) 442-4162
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 26, 2007
Last NPPES UpdateOctober 27, 2011
NPI 1710005251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 8643
134 PROFESSIONAL PARK DR, Mooresville, NC 28117

Accepted Insurance

Medicare Participation & PECOS CMS

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

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).

PECOS PAC ID2668818899
PECOS Enrollment IDI20240311002710
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Counselor
134 PROFESSIONAL PARK DR, SUITE 400
MOORESVILLE, NC 28117
Social Worker (Clinical)
134 PROFESSIONAL PARK DR, SUITE 400
MOORESVILLE, NC 28117
Specialist
134 PROFESSIONAL PARK DR, SUITE 200
MOORESVILLE, NC 28117
Counselor (Professional)
134 PROFESSIONAL PARK DR
MOORESVILLE, NC 28117
Counselor (Mental Health)
134 PROFESSIONAL PARK DR, SUITE 400
MOORESVILLE, NC 28117
Counselor (Professional)
134 PROFESSIONAL PARK DR, SUITE 400
MOORESVILLE, NC 28117
Specialist
134 PROFESSIONAL PARK DR, SUITE 200
MOORESVILLE, NC 28117
Social Worker (Clinical)
134 PROFESSIONAL PARK DR, SUITE 400
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.

What insurance does Kathleen Fetter accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan 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 14 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.