Active NPI
Stan Kimble Counseling Services, LLC
- Professional Counselor
- Madison, AL
National Provider Identifier
1992378707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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 COUNSELOR
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134428113 | Other | AL | AL |
Other names 1
- Stan Kimble Counseling Services, LLC
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.