Individual provider Active NPI

Kimberly M Flemings

  • Mental Health Counselor
  • Belle Chasse, LA
National Provider Identifier
1194747394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1194221 Issued in LA
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
1194221MedicaidLA
10589OtherLASIL
10588OtherLAPCA

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
1194221LAMDMental 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.

Verify at the official NPI Registry.