Individual provider Active NPI

Kathryn Knutsson, ALC, NCC, M.ED.

  • Mental Health Counselor
  • Birmingham, AL
National Provider Identifier
1205461225
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3442A Issued in AL
Practice address
100 Century Park S Ste 102
Birmingham, AL 35226-3922
Phone
(205) 565-6554
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 C3442A AL Primary

Addresses

Primary practice location

100 Century Park S Ste 102
Birmingham, AL 35226-3922

Mailing address

2328 Altadena Crest Dr
Birmingham, AL 35242-4400
Phone (205) 936-0489

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
C3442AALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
K K Enterprise Mental Health CurrentSince Mar 22, 2020 Accepting new patients

Locations

100 Century Park S
Ste 102
Vestavia Hills, AL 35226
Phone (205) 565-6554

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1205461225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 ALTADENA CREST DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424400",
            "telephone_number": "205-936-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTURY PARK S STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263922",
            "telephone_number": "205-565-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSSON",
        "first_name": "KATHRYN",
        "credential": "ALC, NCC, M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3442A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.