Active NPI
Shelanda Jones Kimbrough, ALC
- Counselor
- Wagarville, AL
National Provider Identifier
1396304713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C3185A
- Practice address
- 15181 Highway 43
Wagarville, AL 36585-7000 - Phone
- (205) 515-3377
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCO4465 | AL | |
| Counselor | 101Y00000X | C3185A | AL | Primary |
Addresses
Primary practice location
15181 Highway 43
Wagarville, AL 36585-7000
Mailing address
15181 Highway 43
Wagarville, AL 36585-7000
Phone (205) 515-3377
Other practice location 1
15181 Highway 43
Wagarville, AL 36585-7000
Phone (205) 515-3377
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3185A | AL | MD | Counselor |
| LPCO4465 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1396304713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15181 HIGHWAY 43",
"city": "WAGARVILLE",
"state": "AL",
"postal_code": "365857000",
"telephone_number": "205-515-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15181 HIGHWAY 43",
"city": "WAGARVILLE",
"state": "AL",
"postal_code": "365857000",
"telephone_number": "205-515-3377"
}
],
"practiceLocations": [
{
"address_1": "15181 Highway 43",
"address_purpose": "LOCATION",
"city": "Wagarville",
"state": "AL",
"postal_code": "365857000",
"country_code": "US",
"telephone_number": "205-515-3377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES KIMBROUGH",
"first_name": "SHELANDA",
"credential": "ALC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPCO4465",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "C3185A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wagarville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.