Active NPI
Kreating Your Path Firm LLC
- Professional Counselor
- Birmingham, AL
National Provider Identifier
1992334221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnece M Smith, LPC, NCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Fairfield | Direct | |
| CONNECT URL | Birmingham | Direct | Kreating Your Path Firm, LLC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Birmingham, AL
- NPI 1922561232
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.