IndividualActive
Kim Dismukes, LPC
NPI 1417064320 · Professional Counselor · Dotham, AL
Provider details
- NPI number
- 1417064320
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 459 (AL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Westside Dr
Dotham, AL 36303
Phone: (334) 793-2237
Fax: (334) 712-6256
Street-level locationGet directions
Mailing address
100 Westside Dr
Dothan, AL 36303-1908
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2019-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.