Active NPI
Frayette Olivia Kioni, LMFT, TFCBT, JSOCC
- Marriage & Family Therapist
- Montgomery, AL
National Provider Identifier
1124503339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- L469
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720609936 | Medicaid | AL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| L469 | AL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orchid Key | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Montgomery, AL
- NPI 1720609936
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.