Organization Active NPI

Kdreid Services LLC

  • Mental Health Counselor
  • Talladega, AL
National Provider Identifier
1831921196
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KDREID SERVICES LLC
Doing business as
Kdreid Services LLC
Practice address
101 Court SQ N
Talladega, AL 35160-2458
Phone
(256) 493-1819
Fax
(601) 258-7098
NPI assigned
Aug 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Mrs. Katesha ReidNPI 1417387473
Title
Licensed Professional Counselor
Phone
(256) 493-1819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

101 Court SQ N
Talladega, AL 35160-2458

Mailing address

101 Court SQ N
Talladega, AL 35160-2458

Other names 1

  • KDREID SERVICES LLC Doing business as

National Provider Directory

National Provider Directory

Locations

101 Court Sq N
Talladega, AL 35160
Phone (256) 493-1819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1831921196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COURT SQ N",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COURT SQ N",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602458",
            "telephone_number": "256-493-1819",
            "fax_number": "601-258-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDREID SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "KATESHA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "256-493-1819",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KDREID SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Talladega, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.