Individual provider Active NPI

Kimberly Johnson Liner, LPC-S, LMFT, NCC

  • Mental Health Counselor
  • Alexandria, LA
National Provider Identifier
1801015466
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2745 Issued in LA
Practice address
5720 Jackson St
Alexandria, LA 71303-2042
Phone
(318) 471-6551
NPI assigned
Apr 24, 2007
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2745 LA Primary
Marriage & Family Therapist 106H00000X 728 LA

Addresses

Primary practice location

5720 Jackson St
Alexandria, LA 71303-2042

Mailing address

5720 Jackson St Ext Ste C-418
Alexandria, LA 71303-2042
Phone (318) 471-6551

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
2745LAMDClinical Social Worker
728LAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1801015466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 JACKSON ST EXT STE C-418",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032042",
            "telephone_number": "318-471-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032042",
            "telephone_number": "318-471-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINER",
        "first_name": "KIMBERLY",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "LPC-S, LMFT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "2745",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.