Organization Active NPI

Complete Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, AL
National Provider Identifier
1003581265
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMPLETE COUNSELING LLC
Practice address
810 Palmer Rd Ste 101B
Madison, AL 35758-3115
Phone
(256) 213-1934
NPI assigned
Aug 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Mr. Jerry U GibsonNPI 1154774966
Title
Counselor
Phone
(256) 213-1934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

810 Palmer Rd Ste 101B
Madison, AL 35758-3115

Mailing address

PO Box 1892
Madison, AL 35758-5412
Phone (256) 213-1934

Other names 1

  • Complete Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL desktop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240516000939 AL Part B Supplier - Clinic/Group Practice 6709227176 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, AL

National Provider Directory

National Provider Directory

Locations

150 W Park Loop NW
Ste 350
Huntsville, AL 35806

810 Palmer Rd
Ste 101
Madison, AL 35758
Phone (256) 213-1934

810 Palmer Rd
Ste 101B
Madison, AL 35758
Phone (256) 213-1934

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1003581265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1892",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585412",
            "telephone_number": "256-213-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PALMER RD STE 101B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583115",
            "telephone_number": "256-213-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "256-213-1934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "address_1": "810 Palmer Rd Ste 101B",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357583115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Complete Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Complete Counseling",
            "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 Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.