Active NPI
Katherine Kaelin
- Mental Health Counselor
- Eufaula, AL
National Provider Identifier
1912522897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3958
- Practice address
- 231 E Barbour St
Eufaula, AL 36027-1601 - Phone
- (334) 845-4044
- NPI assigned
- Jun 16, 2020
- Last updated
- Jun 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3958 | AL | Primary |
Addresses
Primary practice location
231 E Barbour St
Eufaula, AL 36027-1601
Mailing address
1 Glenville St
Seale, AL 36875-3721
Phone (334) 614-8577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255759445 | Medicaid | AL |
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 |
|---|---|---|---|
| 3958 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1912522897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GLENVILLE ST",
"city": "SEALE",
"state": "AL",
"postal_code": "368753721",
"telephone_number": "334-614-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E BARBOUR ST",
"city": "EUFAULA",
"state": "AL",
"postal_code": "360271601",
"telephone_number": "334-845-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAELIN",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "3958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255759445",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eufaula, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.