Individual provider Active NPI

Katesha Lavett Ford, MS, LPC

  • Professional Counselor
  • Mountain BRK, AL
National Provider Identifier
1568955698
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC03893 Issued in AL
Practice address
3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418
Phone
(205) 994-2798
Fax
(205) 778-5304
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 LPC03893 AL Primary

Addresses

Primary practice location

3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418

Mailing address

3918 Montclair Rd Ste 206
Mountain BRK, AL 35213-2418
Phone (205) 994-2798

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
I20240729003692 AL Practitioner - Mental Health Counselor 7315483104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K and F Investments LLCGroup PAC ID 1456716380, 5 clinicians

Practice addresses (Care Compare)

3918 Montclair Rd
Suite 206
Mountain BRK, AL 35213-2418
Phone (205) 994-2798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC03893ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
K & F Investments LLC CurrentSince Sep 1, 2024 Accepting new patients
Rivertown Psychiatry, PC CurrentSince Jul 1, 2025 Accepting new patients
Spectracare Integrated Services LLC PastSince Oct 15, 2019 Accepting new patients

Locations

3918 Montclair Rd
Ste 206
Mountain Brk, AL 35213
Phone (205) 919-1902

2123 Executive Park Dr
Opelika, AL 36801
Phone (334) 275-9595

6003 Veterans Pkwy
Ste 100
Columbus, GA 31909
Phone (706) 223-1933

705 17th St
Ste 410
Columbus, GA 31901
Phone (706) 223-1933

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/

Organizations & group practices 3

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1568955698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 MONTCLAIR RD STE 206",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132418",
            "telephone_number": "205-994-2798",
            "fax_number": "205-778-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 MONTCLAIR RD STE 206",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132418",
            "telephone_number": "205-994-2798",
            "fax_number": "205-778-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KATESHA",
        "middle_name": "LAVETT",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC03893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.