Individual provider Active NPI

Martha Lynne Kilgore, L.P.C.

  • Professional Counselor
  • Fort Payne, AL
National Provider Identifier
1093870446
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2005AL Issued in AL
Practice address
301 14TH St NW
Ft. Payne, AL 35967-3155
Phone
(256) 845-4571
Fax
(256) 845-4582
NPI assigned
Dec 26, 2006
Last updated
Sep 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2005 AL
Professional Counselor 101YP2500X 2005AL AL Primary

Addresses

Primary practice location

301 14TH St NW
Ft. Payne, AL 35967-3155

Mailing address

425 5TH Ave NW
Attalla, AL 35954-2214
Phone (256) 492-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717000235 AL Practitioner - Mental Health Counselor 4880109891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

350 Sun Temple Dr
Madison, AL 35758-5919
Phone (256) 288-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005ALALMDProfessional Counselor
2005ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Russellville Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Integrated Behavioral Health, Inc. Professional CurrentSince May 8, 2025 Accepting new patients
Russellville Hospital Inc Current Accepting new patients
Etowah Dekalb Cherokee Mental Health Board, Inc PastSince Mar 4, 2012 Accepting new patients
Gadsden Home Care Services LLC Past Accepting new patients

Locations

1965 AL Highway 157
#B
Cullman, AL 35058
Phone (256) 736-5507

350 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1093870446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 5TH AVE NW",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359542214",
            "telephone_number": "256-492-7800",
            "fax_number": "256-494-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 14TH ST NW",
            "city": "FT. PAYNE",
            "state": "AL",
            "postal_code": "359673155",
            "telephone_number": "256-845-4571",
            "fax_number": "256-845-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "MARTHA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2005",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2005AL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.