Individual provider Active NPI

Diamond Kinermon, ALC

  • Counselor
  • Vestavia Hills, AL
National Provider Identifier
1043885783
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
04976 Issued in AL
Practice address
3411 Primm LN Apt G
Vestavia Hills, AL 35216-5631
Phone
(312) 286-5577
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 04976 AL Primary

Addresses

Primary practice location

3411 Primm LN Apt G
Vestavia Hills, AL 35216-5631

Mailing address

2327 Pentland Dr
Birmingham, AL 35235-2060
Phone (131) 228-6557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04976ALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Healing Counseling Services LLC CurrentSince Dec 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1043885783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 PENTLAND DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352060",
            "telephone_number": "131-228-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 PRIMM LN APT G",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165631",
            "telephone_number": "312-286-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINERMON",
        "first_name": "DIAMOND",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "04976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.