Individual provider Active NPI

Kendra Hathaway, LLMFT, FLE

  • Marriage & Family Therapist
  • Huntsville, AL
National Provider Identifier
1962961771
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1726 Issued in AL
Practice address
2525 Oakwood Ave NW Ste a
Huntsville, AL 35810-4410
Phone
(256) 513-5013
Fax
(256) 484-5504
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 1726 AL Primary
Marriage & Family Therapist 106H00000X 4101006757 MI

Addresses

Primary practice location

2525 Oakwood Ave NW Ste a
Huntsville, AL 35810-4410

Mailing address

PO Box 746063
Atlanta, GA 30374-6063
Phone (312) 733-9730

Other practice location 1

1777 Axtell Dr Ste 107
Troy, MI 48084-4400
Phone (248) 787-0855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260507000559 AL Practitioner - Marriage and Family Therapist 9931634367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Alabama, LLCGroup PAC ID 9133538432, 28 clinicians

Practice addresses (Care Compare)

2525 Oakwood Ave NW
Suite a
Huntsville, AL 35810-4410
Phone (256) 513-5013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1726ALMDPsychologist
4101006757MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Alabama, LLC CurrentSince Apr 20, 2025 Accepting new patients
Osh-Mi Physicians Group PC CurrentSince Sep 12, 2024 Accepting new patients
Nova Physician Group PLLC CurrentSince Apr 5, 2026 Accepting new patients
Positve Transformations Marriage & Family Therapist Current Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Sep 12, 2024 Accepting new patients
Osh-Mi Physicians Group PC Past Accepting new patients

Locations

2525 Oakwood Ave NW
Ste A
Huntsville, AL 35810
Phone (256) 513-5013

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

462 N Telegraph Rd
Pontiac, MI 48341
Phone (248) 234-7540

Organizations & group practices 6

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1962961771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 OAKWOOD AVE NW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358104410",
            "telephone_number": "256-513-5013",
            "fax_number": "256-484-5504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Axtell Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844400",
            "country_code": "US",
            "telephone_number": "248-787-0855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "KENDRA",
        "credential": "LLMFT, FLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "1726",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.