Active NPI
Kimberly M Flemings
- Mental Health Counselor
- Belle Chasse, LA
National Provider Identifier
1194747394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1194221
- Practice address
- 8018 Highway 23, Suite 210
Belle Chasse, LA 70037 - Phone
- (504) 391-3282
- Fax
- (504) 391-3482
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1194221 | LA | Primary |
Addresses
Primary practice location
8018 Highway 23, Suite 210
Belle Chasse, LA 70037
Mailing address
556 Commerce St
Terrytown, LA 70056-7317
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194221 | Medicaid | LA | |
| 10589 | Other | LA | SIL |
| 10588 | Other | LA | PCA |
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 |
|---|---|---|---|
| 1194221 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194747394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 COMMERCE ST",
"city": "TERRYTOWN",
"state": "LA",
"postal_code": "700567317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8018 HIGHWAY 23, SUITE 210",
"city": "BELLE CHASSE",
"state": "LA",
"postal_code": "70037",
"telephone_number": "504-391-3282",
"fax_number": "504-391-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMINGS",
"first_name": "KIMBERLY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "1194221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194221",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIL",
"identifier": "10589",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PCA",
"identifier": "10588",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belle Chasse, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.