Active NPI
Mitchell Kevin Temple, LMFT
- Marriage & Family Therapist
- Shorter, AL
National Provider Identifier
1154647477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- L203
- Practice address
- 1680 Old Federal Rd
Shorter, AL 36075-3509 - Phone
- (133) 431-8331
- NPI assigned
- Apr 12, 2010
- Last updated
- Apr 12, 2010
- Sex
- Male
- 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 | L203 | AL | Primary |
Addresses
Primary practice location
1680 Old Federal Rd
Shorter, AL 36075-3509
Mailing address
1680 Old Federal Rd
Shorter, AL 36075-3509
Phone (133) 431-8331
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 |
|---|---|---|---|
| L203 | AL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271030400000",
"number": "1154647477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 OLD FEDERAL RD",
"city": "SHORTER",
"state": "AL",
"postal_code": "360753509",
"telephone_number": "133-431-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 OLD FEDERAL RD",
"city": "SHORTER",
"state": "AL",
"postal_code": "360753509",
"telephone_number": "133-431-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "MITCHELL",
"middle_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-12",
"last_updated": "2010-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "L203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shorter, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.