Kidz Fitness Station

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KIDZ FITNESS STATION

Practice address

2460 Terry Rd
Jackson, MS 39204-5767

Phone

(404) 279-0598

NPI assigned

Dec 2, 2013

Last updated

Mar 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Asya Joy Smith

Title

Owner

Phone

(404) 279-0598

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1801227723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 MUNDYS MILL RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045767",
            "telephone_number": "404-279-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ FITNESS STATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ASYA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-279-0598"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nida Khawaja, M.D.
• Dena Khorsandi
• Adriane Dorsey Kidd, LCSW
• Kidney Focused Care, LLC
• Kids' Kastle LLC
• Dache Kight
• Sathyadev Nagaraj Kikkeri
• Jodie Kilby, RNFA
• Kaye Killings, CFNP
• Taylor Andreia Killingsworth

• Mental Health Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.