Kimberly McIntosh, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001121 Issued in GA

Practice address

10 Park Place South SE
Atlanta, GA 30303-2913

Phone

(404) 616-0200

NPI assigned

May 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Your Village Healthcare Services LLC

  • Home Health Agency
  • Stapleton, GA
  • NPI 1649056870
  NPD Authorized official

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1831365568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARK PLACE SOUTH SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARK PLACE SOUTH SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032913",
            "telephone_number": "404-616-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Cumberland Pkwy SE",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303393321",
            "country_code": "US",
            "telephone_number": "770-319-2192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "KIMBERLY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayanna Elizabeth McIntosh, PHARMD
• Basil McIntosh
• Belinda Julie McIntosh, MD
• Breanna McIntosh, DMD
• Cameron McIntosh, LMSW
• Marcia Barbara McIntosh, NP
• Michelle Long McIntosh, LPC
• Nichole McIntosh, M.D,, M.P.H
• Thomas E McIntosh, MD
• Corey L McIntyre, OTR/L

• Marriage & Family Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.