Kimberly Antoinette Culley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2271 Issued in MS

Practice address

1513 Lakeland Dr Ste 200
Jackson, MS 39216-4861

Phone

(769) 777-1000

Fax

(769) 230-2864

NPI assigned

Oct 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1306311279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MAGNOLIA WAY",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392083366",
            "telephone_number": "601-613-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 LAKELAND DR STE 200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164861",
            "telephone_number": "769-777-1000",
            "fax_number": "769-230-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTITIONER SUBMISSION",
            "identifier": "2271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry K Cruel, DPM
• Cindy C Cruise, NP
• Fanika Shuntae Crumb, RN
• Braxton Hayes Crumpler
• Reece Ford Crumpler
• Derek Culnan, MD
• Melissa Culpepper, MSN, AGNP-BC
• Rebecca Lynsey Cumberland, D.M.D.
• Shenae Audriana Cummings, M.B.B.S
• Erin R Cummins, MD

• Professional Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.