Organization Active NPI

Collaborative Healing Counseling, LLC

Doing business as Collaborative Healing Counseling

  • Counselor
  • Birmingham, AL
National Provider Identifier
1215536453
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
COLLABORATIVE HEALING COUNSELING, LLC
Doing business as
Collaborative Healing Counseling
Practice address
2320 Highland Ave S Ste 290C
Birmingham, AL 35205-2962
Phone
(205) 201-1693
NPI assigned
Oct 19, 2020
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kayla Lynn Kent, M.ED., ALC, NCCNPI 1962092429
Title
Counselor
Phone
(205) 201-1693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

2320 Highland Ave S Ste 290C
Birmingham, AL 35205-2962

Mailing address

332 Payne Rd
Gardendale, AL 35071-2516

Other names 1

  • Collaborative Healing Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250416000367 AL Part B Supplier - Clinic/Group Practice 9739604497 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

2320 Highland Ave S
Ste 290C
Birmingham, AL 35205
Phone (205) 201-1693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1215536453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 PAYNE RD",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HIGHLAND AVE S STE 290C",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052962",
            "telephone_number": "205-201-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE HEALING COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "205-201-1693",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., ALC, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collaborative Healing Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collaborative Healing Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.