Individual provider Active NPI

Abbey B Kellum, MSW

  • Mental Health Counselor
  • Athens, AL
National Provider Identifier
1306655907
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1307 E Elm St
Athens, AL 35611-5318
Phone
(256) 232-3661
Fax
(256) 355-6092
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1307 E Elm St
Athens, AL 35611-5318

Mailing address

1316 Somerville Rd SE Ste 1
Decatur, AL 35601-4309
Phone (256) 260-7361

Other practice location 1

4110 US Highway 31 S
Decatur, AL 35603-1644
Phone (256) 260-7360

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of North Central Alabama Inc. CurrentSince May 6, 1996 Accepting new patients
Mental Health Center of North Central Alabama Past Accepting new patients

Locations

1307 E Elm St
Athens, AL 35611
Phone (256) 232-3661

1316 Somerville Rd SE
Ste 1
Decatur, AL 35601
Phone (256) 260-7361

4110 US Highway 31 S
Decatur, AL 35603
Phone (256) 260-7360

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1306655907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 SOMERVILLE RD SE STE 1",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014309",
            "telephone_number": "256-260-7361",
            "fax_number": "256-355-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E ELM ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356115318",
            "telephone_number": "256-232-3661",
            "fax_number": "256-355-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 US Highway 31 S",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356031644",
            "country_code": "US",
            "telephone_number": "256-260-7360",
            "fax_number": "256-355-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "ABBEY",
        "middle_name": "B",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.