Organization Active NPI

Larry M. Kirkland, Inc.

  • Professional Counselor
  • Marianna, FL
National Provider Identifier
1497027213
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH8715 Issued in FL
Legal business name
LARRY M. KIRKLAND, INC.
Practice address
4435 Marion St
Marianna, FL 32448-4630
Phone
(850) 482-0019
Fax
(850) 482-0015
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Mr. Larry M. Kirkland, LMHCNPI 1447337712
Title
President/Owner
Phone
(850) 323-1002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X MH8715 FL Primary

Addresses

Primary practice location

4435 Marion St
Marianna, FL 32448-4630

Mailing address

285 W Lakeview Dr
Wewahitchka, FL 32465-7525
Phone (850) 323-1002

Other identifiers 1

IdentifierTypeStateIssuer
001235600MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1497027213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W LAKEVIEW DR",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324657525",
            "telephone_number": "850-323-1002",
            "fax_number": "850-482-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 MARION ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324484630",
            "telephone_number": "850-482-0019",
            "fax_number": "850-482-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY M. KIRKLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "850-323-1002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH8715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001235600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.