Individual provider Active NPI

Kendal Gerrity, MS, LMFT

  • Marriage & Family Therapist
  • Madison, AL
National Provider Identifier
1962080317
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
L560 Issued in AL
Practice address
44 Hughes Rd Ste 1050
Madison, AL 35758-3046
Phone
(256) 631-7898
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3968 FL
Marriage & Family Therapist 106H00000X L560 AL Primary

Addresses

Primary practice location

44 Hughes Rd Ste 1050
Madison, AL 35758-3046

Mailing address

33 Crimson Cloud SW
Huntsville, AL 35824-4010

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@livinglifecunselingctr.com Living Life Counseling Center, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 29, 2024 through Apr 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
L560ALMDMarriage & Family Therapist
MT3968FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metamorphosis Therapeutic Counseling, LLC Current Accepting new patients

Locations

44 Hughes Rd
Ste 1050
Madison, AL 35758
Phone (256) 325-5400

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1962080317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CRIMSON CLOUD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358244010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD STE 1050",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583046",
            "telephone_number": "256-631-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRITY",
        "first_name": "KENDAL",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3968",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "L560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@livinglifecunselingctr.com",
            "affiliation": "Y",
            "affiliationName": "Living Life Counseling Center, LLC",
            "address_1": "44 Hughes Rd Ste 1050",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357583046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.