Alexander K Kaeppler, PHD, LMFT

Individual provider Active NPI Marriage & Family Therapist · Hattiesburg, MS

NPI 1962225482 · NPPES record last updated Nov 4, 2024

Key facts

NPI
1962225482
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
T11112 (MS)
Practice address
140 Mayfair Rd Ste 510
Hattiesburg, MS 39402-1699
Phone
(601) 255-7860
NPI assigned
Nov 4, 2024
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
T11112MSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaeppler Family Therapy, LLC Current
since Nov 10, 2024
Accepting new patients

Locations

140 Mayfair Rd
Ste 510
Hattiesburg, MS 39402
Phone (601) 255-7860

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T11112 MS Yes

Addresses

Primary practice location

140 Mayfair Rd Ste 510
Hattiesburg, MS 39402-1699

Mailing address

105 Comanche Dr
Hattiesburg, MS 39402-2403
Phone (608) 772-7409

Other providers in Hattiesburg, MS

All providers in Hattiesburg, MS · Marriage & Family Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.