Individual provider Active NPI

Catherine Denise Kirkland, PH.D.

  • Pastoral Counselor
  • Murfreesboro, TN
National Provider Identifier
1891183174
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
17151 Issued in FL
Practice address
2670 Memorial Blvd Ste F
Murfreesboro, TN 37129-5134
Phone
(615) 332-4389
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 17151 FL Primary

Addresses

Primary practice location

2670 Memorial Blvd Ste F
Murfreesboro, TN 37129-5134

Mailing address

2670 Memorial Blvd Ste F
Murfreesboro, TN 37129-5134
Phone (615) 332-4389

Other names 1

  • Beautifully Broken Counseling Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
17151FLMDPastoral Counselor

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1891183174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 MEMORIAL BLVD STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295134",
            "telephone_number": "615-332-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 MEMORIAL BLVD STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295134",
            "telephone_number": "615-332-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "CATHERINE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "17151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEAUTIFULLY",
            "last_name": "COUNSELING",
            "middle_name": "BROKEN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.