Organization Active NPI

Stan Kimble Counseling Services, LLC

  • Professional Counselor
  • Madison, AL
National Provider Identifier
1992378707
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
STAN KIMBLE COUNSELING SERVICES, LLC
Practice address
650 Sun Temple Dr
Madison, AL 35758-8621
Phone
(256) 684-2462
NPI assigned
Jul 20, 2021
Organization subpart
Yes
Parent organization
LICENSE PROFESSIONAL COUNSELORAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Harold Kimble
Title
Owner
Phone
(256) 270-9867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

650 Sun Temple Dr
Madison, AL 35758-8621

Mailing address

650 Sun Temple Dr
Madison, AL 35758-8621

Other identifiers 1

IdentifierTypeStateIssuer
1134428113OtherALAL

Other names 1

  • Stan Kimble Counseling Services, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Stan Kimble Counseling Services LLC

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1992378707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588621",
            "telephone_number": "256-684-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAN KIMBLE COUNSELING SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LICENSE PROFESSIONAL COUNSELOR",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-270-9867"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL",
            "identifier": "1134428113",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stan Kimble Counseling Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.