Katherine Jacocks Powell, LPC
Individual provider Active NPI Counselor · Hoover, AL
NPI 1801475306 · NPPES record last updated Apr 3, 2021
Key facts
- NPI
- 1801475306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 4379 (AL)
- Practice address
- 2115 Data Park Cir
Hoover, AL 35244-1252 - Phone
- (205) 705-0195
- NPI assigned
- Apr 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4379 | AL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Trauma, Inc. | Counselor | Current |
Accepting new patients |
| Katy Powell Therapy, LLC | Single Specialty | Current | Accepting new patients |
| Thrive Ada Services | Single Specialty | Past |
Accepting new patients |
Locations
1034 23rd St S
Ste 102
Birmingham, AL 35205
Phone (205) 300-4511
2115 Data Park Cir
Hoover, AL 35244
Phone (205) 478-9260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | 4379 | AL | Yes |
Addresses
Primary practice location
2115 Data Park Cir
Hoover, AL 35244-1252
Mailing address
1034 23Rd St S Ste 102
Birmingham, AL 35205-2462
Phone (205) 705-0195
Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.