Active NPI
Kimberlyn Latrice Parham, MS, LPC
- Professional Counselor
- Montgomery, AL
National Provider Identifier
1154091270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4305
- Practice address
- 6542 Kobe CT
Montgomery, AL 36117-3450 - Phone
- (334) 354-8665
- NPI assigned
- Sep 20, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4305 | AL | Primary |
Addresses
Primary practice location
6542 Kobe CT
Montgomery, AL 36117-3450
Mailing address
6542 Kobe CT
Montgomery, AL 36117-3450
Phone (334) 354-8665
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4305 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1154091270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6542 KOBE CT",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173450",
"telephone_number": "334-354-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6542 KOBE CT",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173450",
"telephone_number": "334-354-8665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARHAM",
"first_name": "KIMBERLYN",
"middle_name": "LATRICE",
"name_prefix": "Ms.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "AL",
"license": "4305",
"primary": true
}
],
"identifiers": [],
"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 Sep 20, 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.