Active NPI
Kristeona Sirah Pitts Watkins, ED.S, ALC
- Professional Counselor
- Madison, AL
National Provider Identifier
1215408976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC04727
- Practice address
- 8840 Madison Blvd
Suite 200-Q
Madison, AL 35758-2622 - Phone
- (256) 469-8976
- NPI assigned
- Dec 6, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC04727 | AL | Primary |
Addresses
Primary practice location
8840 Madison Blvd
Suite 200-Q
Madison, AL 35758-2622
Mailing address
124 Jamie LN
Toney, AL 35773-9368
Phone (601) 573-9899
Other names 1
- Kristeona Sirah Pitts
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 |
|---|---|---|---|
| LPC04727 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Your Journey Counseling Services, LLC | Professional | Current | Accepting new patients |
Locations
8840 Madison Blvd
Ste 200G
Madison, AL 35758
Phone (256) 325-3718
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 and National Provider Directory roles.
-
- Professional Counselor
- Madison, AL
- NPI 1538876685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1215408976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 JAMIE LN",
"city": "TONEY",
"state": "AL",
"postal_code": "357739368",
"telephone_number": "601-573-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8840 MADISON BLVD",
"address_2": "SUITE 200-Q",
"city": "MADISON",
"state": "AL",
"postal_code": "357582622",
"telephone_number": "256-469-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS WATKINS",
"first_name": "KRISTEONA",
"middle_name": "SIRAH",
"name_prefix": "Mrs.",
"credential": "ED.S, ALC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC04727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEONA",
"last_name": "PITTS",
"middle_name": "SIRAH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.