Kelley Cousins Cousins-Jones, LPC

Individual provider Active NPI Professional Counselor · Birmingham, AL

NPI 1174742845 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1174742845
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1456 (AL)
Practice address
200 Office Park Dr
Suite 325
Birmingham, AL 35223-2418
Phone
(205) 879-9964
Fax
(205) 879-9962
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1456ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert & Associates, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1456 AL Yes

Addresses

Primary practice location

200 Office Park Dr
Suite 325
Birmingham, AL 35223-2418

Mailing address

200 Office Park Dr
Suite 325
Birmingham, AL 35223-2418
Phone (205) 879-9964

Other providers in Birmingham, AL

All providers in Birmingham, AL · Professional Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.