Active NPI
Kimberly Lynn Redd, LPC-MHSP
- Professional Counselor
- Cordova, TN
National Provider Identifier
1215052881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4871
- Practice address
- 1674 Farkleberry Dr
Cordova, TN 38016-0606 - Phone
- (423) 313-2060
- NPI assigned
- Mar 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4871 | TN | Primary |
| Professional Counselor | 101YP2500X | LPC005385 | GA |
Addresses
Primary practice location
1674 Farkleberry Dr
Cordova, TN 38016-0606
Mailing address
1674 Farkleberry Dr
Cordova, TN 38016-0606
Phone (423) 313-2060
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 |
|---|---|---|---|
| LPC005385 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1215052881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1674 FARKLEBERRY DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160606",
"telephone_number": "423-313-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1674 FARKLEBERRY DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160606",
"telephone_number": "423-313-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDD",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "4871",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005385",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.