Active NPI
Katherine Killette Anderson, ALC
- Professional Counselor
- Clanton, AL
National Provider Identifier
1124782149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3555A
- Practice address
- 808 Lay Dam Rd
Clanton, AL 35045-2943 - Phone
- (205) 280-7733
- NPI assigned
- Oct 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3555A | AL | Primary |
Addresses
Primary practice location
808 Lay Dam Rd
Clanton, AL 35045-2943
Mailing address
808 Lay Dam Rd
Clanton, AL 35045-2943
Phone (205) 280-7733
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 |
|---|---|---|---|
| C3555A | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Wellness Group, LLC | Current | Accepting new patients | |
| Killette Anderson Counseling LLC | Professional | Current | Accepting new patients |
| The Wellness Group, LLC | Professional | Current | Accepting new patients |
Locations
808 Lay Dam Rd
Clanton, AL 35045
Phone (205) 280-7733
Interoperability endpoints
- https://api.platform.athenahealth.com/25772/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Professional Counselor
- Vestavia Hills, AL
- NPI 1700671344
Professional
-
- Psychiatric/Mental Health Nurse Practitioner
- Clanton, AL
- NPI 1891369823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1124782149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 LAY DAM RD",
"city": "CLANTON",
"state": "AL",
"postal_code": "350452943",
"telephone_number": "205-280-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 LAY DAM RD",
"city": "CLANTON",
"state": "AL",
"postal_code": "350452943",
"telephone_number": "205-280-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KATHERINE",
"middle_name": "KILLETTE",
"credential": "ALC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "C3555A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clanton, AL
- Alabama Department of Public Health
- Alabama Dept of Public Health
- Alabama Therapy and Supervision, LLC
- Rugaya Khaled Aljalal, DMD
- Gladys Eleanor R Alolod, MD
- Angel Ambulance, Inc.
- Melissa Ashley, MSN, FNP-C, PMHNP-BC
- Associated Behavioral Consultants
- Lauren Frederick Atchison, CRNP
- Babs Aesthetic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.