Kim Minshew, CPSS

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

CPSS-5-11-15-4 Issued in AL

Practice address

1428 Weatherly Rd SE Ste 111
Huntsville, AL 35803-1181

Phone

(256) 686-9195

Fax

(256) 304-5381

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Luminous Counseling & Consulting LLC

  • Community/Behavioral Health Agency
  • Huntsville, AL
  • NPI 1811374507
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1174166375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 WEATHERLY RD SE STE 111",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358031181",
            "telephone_number": "256-686-9195",
            "fax_number": "256-304-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 WEATHERLY RD SE STE 111",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358031181",
            "telephone_number": "256-686-9195",
            "fax_number": "256-304-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINSHEW",
        "first_name": "KIM",
        "credential": "CPSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "AL",
            "license": "CPSS-5-11-15-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicea M Mingo, MD
• Deanna Minisee-Ryce
• Douglas Monroe Minisee, P.T.
• Kimberly H Minor, RPH
• Wayne Wesley Minor, ATC
• Brittney Miotke
• Miriam Gardner Counseling
• Benjamin John Miriovsky, M.D.
• Sara Mirza, M.D.
• Wanda D Misori, APRN,BC

• All providers in Huntsville, AL
• Prevention Professional in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.