Kim Ramona Archer, MS
Individual provider Active NPI Mental Health Counselor · Decatur, AL
NPI 1487722708 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487722708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MASTERS (AL)
- Practice address
- 4110 Highway 31 South
Decatur, AL 35603 - Phone
- (256) 355-6105
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MASTERS | AL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Center of North Central Alabama | Past | Accepting new patients | |
| Mental Health Center of North Central Alabama Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MASTERS | AL | Yes |
Addresses
Primary practice location
4110 Highway 31 South
Decatur, AL 35603
Mailing address
1316 Somerville Rd SE
Suite 1
Decatur, AL 35601-4305
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All providers in Decatur, AL · Mental Health Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.