Active NPI
Kimala Flowers, P-LPC, CMHT
- Professional Counselor
- Prentiss, MS
National Provider Identifier
1821687732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P-0345
- Practice address
- 116 J.E. Johnson Road
Prentiss, MS 39474 - Phone
- (601) 792-4872
- NPI assigned
- Jan 14, 2021
- Last updated
- Jan 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2802 | MS | |
| Professional Counselor | 101YP2500X | P-0345 | MS | Primary |
Addresses
Primary practice location
116 J.E. Johnson Road
Prentiss, MS 39474
Mailing address
4100 Mamie St
Hattiesburg, MS 39402-1735
Phone (601) 705-1901
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2802 | MS | MD | Counselor |
| P-0345 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1821687732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 MAMIE ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021735",
"telephone_number": "601-705-1901",
"fax_number": "601-705-1952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 J.E. JOHNSON ROAD",
"city": "PRENTISS",
"state": "MS",
"postal_code": "39474",
"telephone_number": "601-792-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS",
"first_name": "KIMALA",
"credential": "P-LPC, CMHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "2802",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "P-0345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prentiss, MS
- Heather B Dennis, PCMHT
- Roy D Evans, M.D.
- Celeste Ezell, CCSS
- Family Health Care Clinic, Inc.
- Family Health Care Clinic, Inc.
- Forrest County General Hospital (Jefferson Davis General Hospital)
- Forrest County General Hospital (Jefferson Davis General Hospital)
- Forrest County General Hospital (Jefferson Davis Extended Care Facility)
- Forrest County General Hospital (Jefferson Davis General Hospital)
- Forrest County General Hospital (Jefferson Davis Rural Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.