Individual provider Active NPI

Kim F Dale, LPC-MHSP

  • Professional Counselor
  • Nashville, TN
National Provider Identifier
1750538591
Registry record updated Aug 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1867 Issued in TN
Practice address
2400 Crestmoor Rd
Suite 210
Nashville, TN 37215-2032
Phone
(615) 298-2329
Fax
(615) 298-1248
NPI assigned
Aug 23, 2008
Last updated
Aug 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2008

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 1867 TN Primary

Addresses

Primary practice location

2400 Crestmoor Rd
Suite 210
Nashville, TN 37215-2032

Mailing address

4019 George Buchanan Dr
La Vergne, TN 37086-3275
Phone (615) 481-7131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20241212003197 TN Practitioner - Mental Health Counselor 9537695630 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services CurrentSince Oct 28, 2024 Accepting new patients
All About You Healthcare LLC CurrentSince Aug 1, 2025 Accepting new patients
Alliance Healthcare Services CurrentSince Oct 28, 2024 Accepting new patients
Kathryn Sherrod Past Accepting new patients

Locations

106 Montague Way
Madison, TN 37115
Phone (615) 870-5754

2100 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

2150 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

2673 Yale Ave
Memphis, TN 38112
Phone (901) 353-5440

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

Organizations & group practices 4

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": "1219449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219449600000",
    "number": "1750538591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 GEORGE BUCHANAN DR",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370863275",
            "telephone_number": "615-481-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CRESTMOOR RD",
            "address_2": "SUITE 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152032",
            "telephone_number": "615-298-2329",
            "fax_number": "615-298-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "KIM",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-23",
        "last_updated": "2008-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.