Active NPI
Harold Stanley Kimble Sr., LPC
- Professional Counselor
- Decatur, AL
National Provider Identifier
1134428113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2875
- Practice address
- 400 Grant St SE # A2
Decatur, AL 35601-3004 - Phone
- (256) 341-0811
- Fax
- (256) 341-9358
- NPI assigned
- Mar 16, 2011
- Sex
- Male
- 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 | 2875 | AL | Primary |
Addresses
Primary practice location
400 Grant St SE # A2
Decatur, AL 35601-3004
Mailing address
PO Box 988
Decatur, AL 35602-0988
Phone (256) 341-0811
Other practice location 1
475 Providence Main St NW Ste 401
Huntsville, AL 35806-4818
Phone (256) 341-0811
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 |
|---|---|---|---|
| 2875 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Consulting, LLC | Professional | Past | Accepting new patients |
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": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1134428113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 988",
"city": "DECATUR",
"state": "AL",
"postal_code": "356020988",
"telephone_number": "256-341-0811",
"fax_number": "256-341-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GRANT ST SE # A2",
"city": "DECATUR",
"state": "AL",
"postal_code": "356013004",
"telephone_number": "256-341-0811",
"fax_number": "256-341-9358"
}
],
"practiceLocations": [
{
"address_1": "475 Providence Main St NW Ste 401",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358064818",
"country_code": "US",
"telephone_number": "256-341-0811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIMBLE",
"first_name": "HAROLD",
"middle_name": "STANLEY",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-16",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.