Individual provider Active NPI

Christian Alexandra Kiddy

  • Mental Health Counselor
  • Monroe, LA
National Provider Identifier
1881359826
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1204 Stubbs Ave Ste B
Monroe, LA 71201-5631
Phone
(318) 582-5633
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1204 Stubbs Ave Ste B
Monroe, LA 71201-5631

Mailing address

1204 Stubbs Ave Ste B
Monroe, LA 71201-5631
Phone (337) 335-8463

Other practice location 1

224 Finks Hideaway Rd Apt 231
Monroe, LA 71203-2397
Phone (337) 335-8463

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL contactus@guidancebhs.com

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

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1881359826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 STUBBS AVE STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015631",
            "telephone_number": "337-335-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 STUBBS AVE STE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015631",
            "telephone_number": "318-582-5633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Finks Hideaway Rd Apt 231",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712032397",
            "country_code": "US",
            "telephone_number": "337-335-8463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDDY",
        "first_name": "CHRISTIAN",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contactus@guidancebhs.com",
            "affiliation": "N",
            "address_1": "1204 Stubbs Ave Ste B",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712015631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.