KENNETH A STREET LPC NPI 1023019932

NPI Information

  • NPI: 1023019932
  • Provider Name: KENNETH A STREET, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3413 RAINBOW PKWY STE A
    RAINBOW CITY, AL
    ZIP 35906
  • Phone: (256) 490-6423

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NPI Details

Kenneth A Street, LPC is a mental health counselor in Rainbow City, AL. Kenneth A Street, LPC NPI is 1023019932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3413 RAINBOW PKWY STE A
RAINBOW CITY, AL
ZIP 35906-234
Phone: (256) 490-6423
Fax: (256) 380-5857

The enumeration date for this NPI number is 8/2/2005 and was last updated on 1/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health2004ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12004OTHERALABAMALPC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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