Active NPI
Kay Bush Sorrells, LPC
- Professional Counselor
- Daphne, AL
National Provider Identifier
1902849524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC1713
- Practice address
- 29000 Hwy 98
Suite 102 a
Daphne, AL 36526 - Phone
- (251) 626-5797
- Fax
- (251) 626-5798
- NPI assigned
- Jun 13, 2006
- Last updated
- Jan 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2695 | AL | |
| Professional Counselor | 101YP2500X | LPC1713 | TN | Primary |
Addresses
Primary practice location
29000 Hwy 98
Suite 102 a
Daphne, AL 36526
Mailing address
29000 Hwy 98
Suite 102 a
Daphne, AL 36526
Phone (251) 626-5797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 544111 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC1713 | TN | MD | Professional Counselor |
| 2695 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1902849524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29000 HWY 98",
"address_2": "SUITE 102 A",
"city": "DAPHNE",
"state": "AL",
"postal_code": "36526",
"telephone_number": "251-626-5797",
"fax_number": "251-626-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29000 HWY 98",
"address_2": "SUITE 102 A",
"city": "DAPHNE",
"state": "AL",
"postal_code": "36526",
"telephone_number": "251-626-5797",
"fax_number": "251-626-5798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRELLS",
"first_name": "KAY",
"middle_name": "BUSH",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2695",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC1713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "544111",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
- Wesley R Smith, PHARMD
- Whitney Smith, SLP
- Talley S Sofianos, PA-C
- Simara Sokom, PHARM.D.
- Solid Rock Counseling, LLC
- South Alabama Dermatology and Surgery Center LLC (South Alabama Dermatology)
- Southeast Functional Chiropractic
- Southern Cancer Center, PC (Coastal Pharmacy LLC)
- Southern Counseling Associates LLC
- Southern Dentistry, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.