Kimberly O'Rael Tubbs
Counselor, Professional in Tuscaloosa, AL. Individual provider (NPI-1).
NPI number1104599646
StatusActive
Last updated in NPPESJul 30, 2021
Details
- NPI
- 1104599646
- Entity type
- Individual (NPI-1)
- Name
- Kimberly O'Rael Tubbs
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2021
- Certification date
- Jul 30, 2021
- Last updated
- Jul 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
1001 Mimosa Park RdTuscaloosa, AL 35405-4843
Phone 205-752-5857
Mailing address
1001 Mimosa Park RdTuscaloosa, AL 35405-4843
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