Organization Active NPI

My Time Counseling Services for Professionals, P.L.L.C.

  • Health Maintenance Organization
  • Evarts, KY
National Provider Identifier
1073962874
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
103105 Issued in KY
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.