Shamichael Malakeia Shanelle Kittler, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4609 Issued in AL

Practice address

1501 Decatur Hwy
Gardendale, AL 35071-3857

Phone

(205) 644-1166

NPI assigned

Mar 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrative Health Services, LLCGroup PAC ID 0648503615, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrative Health Services, LLC

  • Clinical Social Worker
  • Hoover, AL
  • NPI 1417355504
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1326807181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 DARTMOUTH AVE",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350204348",
            "telephone_number": "251-605-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DECATUR HWY",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713857",
            "telephone_number": "205-644-1166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9064 Helena Rd",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "AL",
            "postal_code": "351242737",
            "country_code": "US",
            "telephone_number": "205-644-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITTLER",
        "first_name": "SHAMICHAEL",
        "middle_name": "MALAKEIA SHANELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lawson King, PHARM.D.
• Steven J King, MD
• Terry V Kinnebrew, M.D.
• Pamela Nichole Kirby, PT, DPT
• Jenna Michelle Kirk
• Laboratory Corporation of America Holdings
• Laura Lee Laborde
• Melanie Lawrence, O.D.
• Linh Oswaldo Le, PHARMD
• Jordan Lee

• Mental Health Counselor in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.