Organization Active NPI

Kreating Your Path Firm LLC

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1992334221
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KREATING YOUR PATH FIRM LLC
Practice address
2100A Southbridge Pkwy Ste 650
Birmingham, AL 35209-1377
Phone
(205) 440-2685
Fax
(833) 289-6535
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Johnece M Smith, LPC, NCCNPI 1922561232
Title
Ceo, Ower
Phone
(205) 643-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2100A Southbridge Pkwy Ste 650
Birmingham, AL 35209-1377

Mailing address

429 Green Springs Hwy Ste 161
Birmingham, AL 35209-4938
Phone (206) 642-5644

Other practice location 1

5010 Gary Ave
Fairfield, AL 35064-1349
Phone (205) 643-5644

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Fairfield Direct
CONNECT URL Birmingham Direct Kreating Your Path Firm, LLC

National Provider Directory

National Provider Directory

Locations

5010 Gary Ave
Fairfield, AL 35064
Phone (205) 643-5644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1992334221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 GREEN SPRINGS HWY STE 161",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094938",
            "telephone_number": "206-642-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100A SOUTHBRIDGE PKWY STE 650",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091377",
            "telephone_number": "205-440-2685",
            "fax_number": "833-289-6535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5010 Gary Ave",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "AL",
            "postal_code": "350641349",
            "country_code": "US",
            "telephone_number": "205-643-5644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KREATING YOUR PATH FIRM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHNECE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO, OWER",
        "authorized_official_telephone_number": "205-643-5644",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fairfield",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5010 Gary Ave",
            "city": "Fairfield",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350641349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Birmingham",
            "affiliation": "Y",
            "endpointDescription": "practice",
            "affiliationName": "Kreating Your Path Firm, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2100A Southbridge Pkwy Ste 650",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352091377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 25, 2023; 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.