Kimberly Ann Hart, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC04779 Issued in AK

Practice address

321 Westgate Pkwy Ste 4
Dothan, AL 36303-3072

Phone

(334) 677-7627

Fax

(334) 446-5139

NPI assigned

Nov 21, 2022

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Southeast Outpatient Addiction Recovery

  dba Soar

  • Mental Health Counselor
  • Dothan, AL
  • NPI 1275245292

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1609585322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 WESTGATE PKWY STE 4",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033072",
            "telephone_number": "334-677-7627",
            "fax_number": "334-446-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 WESTGATE PKWY STE 4",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363033072",
            "telephone_number": "334-677-7627",
            "fax_number": "334-446-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC04779",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "LPC04779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "soaraboveaddiction@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "321 Westgate Pkwy Ste 4",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363033072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna-Brooke Harrison-Hall
• Chad Philip Harrison, PHARM.D.
• Sophia Devoss Harrison, OTR/L
• Tori Christian Harrison, FNP-C
• Daphne Barfield Hart
• Kirby Lamar Hart, M.D.
• John A Hartsell, PA
• Mallory Harvin, CRNP
• Hashim J. Hassan,D.M.D.,P.C.
• Farhan Asghar Hashimi, MD

• Professional Counselor in Dothan, AL
• Providers in Dothan, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.