Individual provider Active NPI

Frayette Olivia Kioni, LMFT, TFCBT, JSOCC

  • Marriage & Family Therapist
  • Montgomery, AL
National Provider Identifier
1124503339
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
L469 Issued in AL
Practice address
8650 Minnie Brown Rd.
Suite 221
Montgomery, AL 36117-7845
Phone
(334) 219-0339
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X L469 AL Primary

Addresses

Primary practice location

8650 Minnie Brown Rd.
Suite 221
Montgomery, AL 36117-7845

Mailing address

PO Box 230391
Montgomery, AL 36123-0391
Phone (334) 219-0339

Other practice location 1

105 Lauderdale St
Selma, AL 36701-4614
Phone (334) 219-0339

Other practice location 2

31 Sunnydale Ct
Deatsville, AL 36022-3279
Phone (719) 775-6673

Other identifiers 1

IdentifierTypeStateIssuer
1720609936MedicaidAL

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
L469ALMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Key Marriage & Family Therapist CurrentSince Apr 23, 2023 Accepting new patients

Locations

8650 Minnie Brown Rd
Ste 221
Montgomery, AL 36117
Phone (334) 219-0132

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1124503339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230391",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361230391",
            "telephone_number": "334-219-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 MINNIE BROWN RD.",
            "address_2": "SUITE 221",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177845",
            "telephone_number": "334-219-0339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Lauderdale St",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "AL",
            "postal_code": "367014614",
            "country_code": "US",
            "telephone_number": "334-219-0339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Sunnydale Ct",
            "address_purpose": "LOCATION",
            "city": "Deatsville",
            "state": "AL",
            "postal_code": "360223279",
            "country_code": "US",
            "telephone_number": "719-775-6673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIONI",
        "first_name": "FRAYETTE",
        "middle_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "LMFT, TFCBT, JSOCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "L469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720609936",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.