Individual provider Active NPI

Kathryn Juneman Ely, ALC

  • Mental Health Counselor
  • Mountain BRK, AL
National Provider Identifier
1174180731
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3255A Issued in AL
Practice address
9 Office Park Cir Ste 106
Mountain BRK, AL 35223-2501
Phone
(205) 730-6570
NPI assigned
May 20, 2019
Last updated
May 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C3255A AL Primary

Addresses

Primary practice location

9 Office Park Cir Ste 106
Mountain BRK, AL 35223-2501

Mailing address

9 Office Park Cir Ste 106
Mountain BRK, AL 35223-2501
Phone (205) 730-6570

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

LicenseStateTypeSpecialty
C3255AALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Counseling LLC Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1174180731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OFFICE PARK CIR STE 106",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232501",
            "telephone_number": "205-730-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 OFFICE PARK CIR STE 106",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232501",
            "telephone_number": "205-730-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "KATHRYN",
        "middle_name": "JUNEMAN",
        "credential": "ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3255A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.