Kimberly May Alexander, LPCC, NCC

Individual provider Active NPI Professional Counselor · Richmond, KY

NPI 1245603299 · NPPES record last updated Apr 6, 2021

Key facts

NPI
1245603299
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
251659 (KY)
Practice address
213B Saint George St
Richmond, KY 40475-2323
Phone
(859) 200-5666
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
251659KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kma Enterprises LLC Mental Health Current
since Jul 25, 2019
Accepting new patients

Locations

213B Saint George St
Richmond, KY 40475
Phone (859) 200-5666

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 251659 KY Yes

Addresses

Primary practice location

213B Saint George St
Richmond, KY 40475-2323

Mailing address

213B Saint George St
Richmond, KY 40475-2323
Phone (859) 200-5666

Other practice location 1

322 Highland Park Dr
Richmond, KY 40475-3487
Phone (859) 625-1955

Other identifiers

IdentifierTypeStateIssuer
7100621180MedicaidKY

Other providers in Richmond, KY

All providers in Richmond, KY · Professional Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.