Individual provider Active NPI

Kimberly Lane Allfrey, LPC

  • Professional Counselor
  • Huntsville, AL
National Provider Identifier
1447404785
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2436 Issued in AL
Practice address
475 Providence Main St NW Ste 401
Huntsville, AL 35806-4818
Phone
(256) 716-0811
Fax
(256) 341-9358
NPI assigned
Nov 13, 2008
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 2436 AL Primary

Addresses

Primary practice location

475 Providence Main St NW Ste 401
Huntsville, AL 35806-4818

Mailing address

PO Box 988
Decatur, AL 35602-0988
Phone (256) 341-0811

Other identifiers 3

IdentifierTypeStateIssuer
600561463OtherALMAGELLAN
51139744OtherALBCBS
654579OtherALVALUE OPTIONS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240606002370 AL Practitioner - Mental Health Counselor 4789916909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Consulting, LLCGroup PAC ID 6608108824, 6 clinicians

Practice addresses (Care Compare)

475 Providence Main St NW
Suite 401
Huntsville, AL 35806-4818
Phone (256) 341-0811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2436ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Consulting, LLC Professional CurrentSince Mar 27, 2024 Accepting new patients

Locations

475 Providence Main St NW
Ste 401
Huntsville, AL 35806
Phone (256) 341-0811

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1447404785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356020988",
            "telephone_number": "256-341-0811",
            "fax_number": "256-341-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 PROVIDENCE MAIN ST NW STE 401",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064818",
            "telephone_number": "256-716-0811",
            "fax_number": "256-341-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLFREY",
        "first_name": "KIMBERLY",
        "middle_name": "LANE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600561463",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51139744",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "654579",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.