Individual provider Active NPI

Kim Brindley

  • Professional Counselor
  • Vestavia, AL
National Provider Identifier
1417220195
Registry record updated Feb 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1908 Issued in AL
Practice address
300 Vestavia Pkwy Ste 2300
Vestavia, AL 35216-3788
Phone
(205) 795-2019
NPI assigned
Feb 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1908 AL Primary

Addresses

Primary practice location

300 Vestavia Pkwy Ste 2300
Vestavia, AL 35216-3788

Mailing address

300 Vestavia Pkwy Ste 2300
Vestavia, AL 35216-3788
Phone (205) 795-2019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 19, 2025 through Feb 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1908ALMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1328918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328918400000",
    "number": "1417220195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VESTAVIA PKWY STE 2300",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163788",
            "telephone_number": "205-795-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VESTAVIA PKWY STE 2300",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163788",
            "telephone_number": "205-795-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINDLEY",
        "first_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-11",
        "last_updated": "2012-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.