Organization Active NPI

Southern Hills Counseling Center

  • Social Worker
  • Tell City, IN
National Provider Identifier
1194155275
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33006824A Issued in IN
Legal business name
SOUTHERN HILLS COUNSELING CENTER
Practice address
1443 9TH St
Tell City, IN 47586-1407
Phone
(812) 547-7905
Fax
(812) 547-5146
NPI assigned
Nov 26, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Joseph Edward Kimmel, LCSW, MSW
Title
Executive Director
Phone
(812) 482-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33006824A IN Primary

Addresses

Primary practice location

1443 9TH St
Tell City, IN 47586-1407

Mailing address

480 Eversman Dr
Jasper, IN 47546-3548
Phone (812) 482-3020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1194155275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 EVERSMAN DR",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463548",
            "telephone_number": "812-482-3020",
            "fax_number": "812-482-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 9TH ST",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475861407",
            "telephone_number": "812-547-7905",
            "fax_number": "812-547-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HILLS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-482-3020",
        "authorized_official_credential": "LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33006824A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tell City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.