Active NPI
Martha Lynne Kilgore, L.P.C.
- Professional Counselor
- Fort Payne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2005AL
- 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, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005AL | AL | MD | Professional Counselor |
| 2005 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russellville Hospital Inc | Current | Accepting new patients | |
| Integrated Behavioral Health, Inc. | Professional | Current | Accepting new patients |
| Russellville Hospital Inc | Current | Accepting new patients | |
| Etowah Dekalb Cherokee Mental Health Board, Inc | Past | 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.
-
dba Russellville Hospital Medical Clinic
- Family Medicine Physician
- Russellville, AL
- NPI 1780232314
-
dba Russellville Hospital Family Care First Clinic
- Rural Health Clinic/Center
- Russellville, AL
- NPI 1508491093
-
dba CED Mental Health Center
- Community/Behavioral Health Agency
- Attalla, AL
- NPI 1326175795
-
dba Adoration Home Health
- Home Health Agency
- Gadsden, AL
- NPI 1821010679
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
- Kelli Kidd, MS,CCC-SLP
- Kidemics, LLC
- Kilgore Express Pharmacy Inc (Kilgore Express Pharmacy)
- Kilgore Express Pharmacy Inc (Kilgore Express Pharmacy #6)
- Lotha Lee Kilgore
- Caitlin Kirby, LMT, CKTP, LPTA
- Sheila Knox, M.ED.,CCC-SLP
- Kaylee Ragan Kwan, CPNP-PC
- Laboratory Corporation of America Holdings
- Amanda Lambert, MS,CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.