Organization Active NPI

Kolbe Clinic LLC

  • Psychiatry Physician
  • Chelsea, AL
National Provider Identifier
1841675865
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KOLBE CLINIC LLC
Practice address
109 Foothills Pkwy Ste 113
Chelsea, AL 35043-8236
Phone
(205) 618-9899
Fax
(205) 618-9706
NPI assigned
Jul 21, 2015
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Mr. William Carl Wainscott II
Title
Ceo
Phone
(205) 618-9899

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

109 Foothills Pkwy Ste 113
Chelsea, AL 35043-8236

Mailing address

109 Foothills Pkwy Ste 113
Chelsea, AL 35043-8236
Phone (205) 618-9899

Other practice location 1

80 Herren Hill Rd Ste C
Tallassee, AL 36078-1264
Phone (205) 775-0300

Other practice location 2

3400 Highway 78 E Ste 200
Jasper, AL 35501-8950
Phone (205) 512-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221000100 AL Part B Supplier - Clinic/Group Practice 4183925910 Receives reassigned benefits from 21 practitioners
Practice locations: Birmingham, AL; Chelsea, AL; Jasper, AL; Tallassee, AL; Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

109 Foothills Pkwy
Chelsea, AL 35043

109 Foothills Pkwy
Ste A
Chelsea, AL 35043
Phone (205) 775-0300

1810 3rd Ave S
Ste 101
Jasper, AL 35501
Phone (205) 512-1015

2121 9th St
Ste C
Tuscaloosa, AL 35401
Phone (205) 764-1358

915 22nd Ave
Tuscaloosa, AL 35401
Phone (205) 764-1358

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1841675865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 FOOTHILLS PKWY STE 113",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438236",
            "telephone_number": "205-618-9899",
            "fax_number": "205-618-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FOOTHILLS PKWY STE 113",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438236",
            "telephone_number": "205-618-9899",
            "fax_number": "205-618-9706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Herren Hill Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Tallassee",
            "state": "AL",
            "postal_code": "360781264",
            "country_code": "US",
            "telephone_number": "205-775-0300",
            "fax_number": "205-618-9899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Highway 78 E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "AL",
            "postal_code": "355018950",
            "country_code": "US",
            "telephone_number": "205-512-1015",
            "fax_number": "205-618-9706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOLBE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "WAINSCOTT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-618-9899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.