Base, PLLC
NPI 1265936108ActiveOrganization· Psychologist· Charlotte, NC
Psychologist in Charlotte, North Carolina, registered in NPPES in March 2018. The authorized official on file is Andrea Umbach Kettling, PSYD, Co-Owner/Licensed Psychologist.
Overview
| NPI | 1265936108 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2018 |
| Last updated in NPPES | Aug 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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