Individual provider Active NPI

Emily M Simpson-Keenum, LMFT

  • Marriage & Family Therapist
  • Tuscaloosa, AL
National Provider Identifier
1366090789
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
L602 Issued in AL
Practice address
2910 7TH St
Tuscaloosa, AL 35401-1810
Phone
(205) 210-8099
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X L602 AL Primary

Addresses

Primary practice location

2910 7TH St
Tuscaloosa, AL 35401-1810

Mailing address

9090 Cotton Field Cir
Tuscaloosa, AL 35405-9643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MA, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250818002404 AL Practitioner - Marriage and Family Therapist 2264931138 Reassigns benefits to 1 organization
I20251205000931 MA Practitioner - Marriage and Family Therapist 2264931138 Reassigns benefits to 1 organization
I20260108000508 WI Practitioner - Marriage and Family Therapist 2264931138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Westover Dr
Sanford, NC 27330-8941

66 E Flagler St
Miami, FL 33130-1807

9090 Cotton Field Cir
Tuscaloosa, AL 35405-9643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 5, 2025 Accepting new patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Oct 28, 2025 Accepting new patients
Gibson Therapy Services, LLC Marriage & Family Therapist CurrentSince Sep 1, 2019 Accepting new patients

Locations

2910 7th St
Tuscaloosa, AL 35401
Phone (205) 210-8099

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

Organizations & group practices 3

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1366090789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 COTTON FIELD CIR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354059643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 7TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011810",
            "telephone_number": "205-210-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON-KEENUM",
        "first_name": "EMILY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "L602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.