Active NPI
Kaitlyn Tew, LPC
- Professional Counselor
- Florence, AL
National Provider Identifier
1861032989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC04935
- Practice address
- 635 W College St
Florence, AL 35630-5313 - Phone
- (256) 764-3431
- Fax
- (256) 765-2036
- NPI assigned
- Jan 7, 2020
- 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 | |||
| Professional Counselor | 101YP2500X | LPC04935 | AL | Primary |
Addresses
Primary practice location
635 W College St
Florence, AL 35630-5313
Mailing address
1909 Commerce Ave
Cullman, AL 35055-6151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 16, 2025 through Sep 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC04935 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1861032989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 COMMERCE AVE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350556151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 W COLLEGE ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356305313",
"telephone_number": "256-764-3431",
"fax_number": "256-765-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEW",
"first_name": "KAITLYN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-07",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC04935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
- Tennessee Valley Surgery Group
- Terri Whalen Licsw MSW LLC
- Terry B. Tinsley MD PC
- Katie Terry, CLD
- Tracy Terry, PHARMD
- Pradeep Thapa
- The Florence Endocrine Clinic a Professional Limited Liability Company
- The Health Care Authority of Lauderdale County & the City of Florence
- The Health Care Authority of Lauderdale County & the City of Florence
- The Health Care Authority of Lauderdale County and the City of Florenc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.