Individual provider Active NPI

Kimbali Anne Taylor, M.S., LPC, NCC

  • Professional Counselor
  • Ringgold, GA
National Provider Identifier
1942327598
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005328 Issued in GA
Practice address
479 Cotter St
Ringgold, GA 30736-2337
Phone
(423) 991-0494
Fax
(706) 937-5183
NPI assigned
Mar 26, 2007
Last updated
Jan 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC005328 GA Primary

Addresses

Primary practice location

479 Cotter St
Ringgold, GA 30736-2337

Mailing address

17 Lake Haven Dr
Cartersville, GA 30120-8467
Phone (423) 991-0494

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
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC005328GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Care Counseling of Georgia Professional Past Accepting new patients
Associated Psychological Services,Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1942327598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LAKE HAVEN DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208467",
            "telephone_number": "423-991-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 COTTER ST",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362337",
            "telephone_number": "423-991-0494",
            "fax_number": "706-937-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIMBALI",
        "middle_name": "ANNE",
        "credential": "M.S., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.