Active NPI
Kendal Gerrity, MS, LMFT
- Marriage & Family Therapist
- Madison, AL
National Provider Identifier
1962080317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- L560
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L560 | AL | MD | Marriage & Family Therapist |
| MT3968 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, AL
- NPI 1902484207
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.