Individual provider Active NPI

Kim Hammans, LPC

  • Professional Counselor
  • Eagle River, AK
National Provider Identifier
1881081230
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
183911 Issued in AK
Practice address
20243 Constitution Dr
Eagle River, AK 99577-8472
Phone
(314) 715-4385
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 183911 AK
Professional Counselor 101YP2500X LPC010052 GA
Professional Counselor 101YP2500X 2013036833 MO
Professional Counselor 101YP2500X 183911 AK Primary

Addresses

Primary practice location

20243 Constitution Dr
Eagle River, AK 99577-8472

Mailing address

20243 Constitution Dr
Eagle River, AK 99577-8472
Phone (314) 715-4385

Other practice location 1

1612 S Big Bend Blvd
Saint Louis, MO 63117-2208
Phone (314) 529-1740

Other practice location 2

2150 E Dowling Rd
Anchorage, AK 99507-1980
Phone (314) 312-2307

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

LicenseStateTypeSpecialty
183911AKMDMental Health Counselor
LPC010052GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1881081230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20243 CONSTITUTION DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778472",
            "telephone_number": "314-715-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20243 CONSTITUTION DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778472",
            "telephone_number": "314-715-4385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 S Big Bend Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631172208",
            "country_code": "US",
            "telephone_number": "314-529-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 E Dowling Rd",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995071980",
            "country_code": "US",
            "telephone_number": "314-312-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMANS",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "183911",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010052",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013036833",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "183911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.