Individual provider Active NPI

Kathleen Fox Sellers, LPC

  • Mental Health Counselor
  • Atmore, AL
National Provider Identifier
1508053356
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC2523 Issued in AL
Practice address
309 E Ridgeley St
Atmore, AL 36502-2017
Phone
(252) 368-1675
Fax
(251) 446-1994
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1122 AL
Mental Health Counselor 101YM0800X LPC2523 AL Primary
Mental Health Counselor 101YM0800X LPC002948 GA

Addresses

Primary practice location

309 E Ridgeley St
Atmore, AL 36502-2017

Mailing address

309 E Ridgeley St
Atmore, AL 36502-2017
Phone (251) 368-1675

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

LicenseStateTypeSpecialty
1122ALMDMental Health Counselor
LPC2523ALMDMental Health Counselor
LPC002948GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Alabama Behavioral Health Care Systems Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1508053356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E RIDGELEY ST",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022017",
            "telephone_number": "251-368-1675",
            "fax_number": "251-446-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E RIDGELEY ST",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022017",
            "telephone_number": "252-368-1675",
            "fax_number": "251-446-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "KATHLEEN",
        "middle_name": "FOX",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "1122",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC2523",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC002948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.