Daniel Jackson Birdsong, LPC
Individual provider Active NPI Professional Counselor · Montevallo, AL
NPI 1003583584 · NPPES record last updated Nov 27, 2024
Key facts
- NPI
- 1003583584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3827 (AL)
- Practice address
- 731 Middle St
Montevallo, AL 35115-3730 - Phone
- (205) 382-8550
- Fax
- (205) 382-8550
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 15, 2025 through Sep 15, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Valley Counseling, LLC | Professional | Current | Accepting new patients |
| Jay Pesek Counseling Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3827 | AL | Yes |
Addresses
Primary practice location
731 Middle St
Montevallo, AL 35115-3730
Mailing address
731 Middle St
Montevallo, AL 35115-3730
Phone (205) 907-6626
Other providers in Montevallo, AL
- Kenneth Michael Anderson
- Arjenna' Parabasic Transport LLC
- Ariel Louise Baillargeon
- Benjamin a. Crunk, DDS, LLC
- Bio-Medical Applications of Alabama, Inc.
- Julynn Burns
- Carter Counseling Services, LLC
- Catch These Hands Massage Therapy LLC
- Michael Trent Chadwick
- Croswell Counseling Services
All providers in Montevallo, AL · Professional Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.