Individual provider Active NPI

Kimberly Lajuan Marable, LPC, NCC, CRC

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1972680056
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2362 Issued in AL
Practice address
1675 Montclair Rd Ste 252
Birmingham, AL 35210-2400
Phone
(205) 567-4718
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 2362 AL Primary

Addresses

Primary practice location

1675 Montclair Rd Ste 252
Birmingham, AL 35210-2400

Mailing address

2749 Bentwood Dr
Birmingham, AL 35235-2173
Phone (205) 533-8667

Other identifiers 1

IdentifierTypeStateIssuer
339037264MedicaidAL

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

State licenses

LicenseStateTypeSpecialty
2362ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marable Counseling & Consulting Services, LLC Professional Current Accepting new patients

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972680056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 BENTWOOD DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352173",
            "telephone_number": "205-533-8667",
            "fax_number": "205-533-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 MONTCLAIR RD STE 252",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352102400",
            "telephone_number": "205-567-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARABLE",
        "first_name": "KIMBERLY",
        "middle_name": "LAJUAN",
        "name_prefix": "Miss",
        "credential": "LPC, NCC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339037264",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.