Active NPI
My Time Counseling Services for Professionals, P.L.L.C.
- Health Maintenance Organization
- Evarts, KY
National Provider Identifier
1073962874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 103105
- Legal business name
- MY TIME COUNSELING SERVICES FOR PROFESSIONALS, P.L.L.C.
- Practice address
- 383 Sals Branch Rd
Evarts, KY 40828-6484 - Phone
- (606) 505-8649
- NPI assigned
- Jun 13, 2016
- Last updated
- Jun 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly E. Brown, LPCC, HS-BCP, NCC
- Title
- Licensed Counselor
- Phone
- (606) 505-8649
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 103105 | KY | Primary |
| Preferred Provider Organization | 305R00000X | 103105 | KY | |
| Point of Service | 305S00000X | 103105 | KY |
Addresses
Primary practice location
383 Sals Branch Rd
Evarts, KY 40828-6484
Mailing address
383 Sals Branch Rd
Evarts, KY 40828-6484
Phone (606) 505-8649
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465776000000",
"number": "1073962874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 SALS BRANCH RD",
"city": "EVARTS",
"state": "KY",
"postal_code": "408286484",
"telephone_number": "606-505-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 SALS BRANCH RD",
"city": "EVARTS",
"state": "KY",
"postal_code": "408286484",
"telephone_number": "606-505-8649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY TIME COUNSELING SERVICES FOR PROFESSIONALS, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-13",
"last_updated": "2016-06-13",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "LICENSED COUNSELOR",
"authorized_official_telephone_number": "606-505-8649",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPCC, HS-BCP, NCC"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "KY",
"license": "103105",
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "KY",
"license": "103105",
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "KY",
"license": "103105",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evarts, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.