Active NPI
Dale Kirkham, LPC MHSP
- Professional Counselor
- Nashville, TN
National Provider Identifier
1235533746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2988
- Practice address
- 2021 21St Ave S
Room 322
Nashville, TN 37212-4342 - Phone
- (615) 420-0201
- NPI assigned
- Oct 13, 2014
- Sex
- Male
- 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 | 2988 | TN | Primary |
Addresses
Primary practice location
2021 21St Ave S
Room 322
Nashville, TN 37212-4342
Mailing address
199 Harpeth View TRL
Kingston Springs, TN 37082-9047
Phone (615) 420-0201
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 |
|---|---|---|---|
| 2988 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1235533746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 HARPETH VIEW TRL",
"city": "KINGSTON SPRINGS",
"state": "TN",
"postal_code": "370829047",
"telephone_number": "615-420-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 21ST AVE S",
"address_2": "ROOM 322",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372124342",
"telephone_number": "615-420-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKHAM",
"first_name": "DALE",
"credential": "LPC MHSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-13",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "2988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.