Individual provider Active NPI

Jan Lasseter, LPC

  • Mental Health Counselor
  • Guntersville, AL
National Provider Identifier
1003968678
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-1615 Issued in AL
Practice address
1612 Railroad Avenue
Guntersville, AL 35976-1111
Phone
(256) 582-8880
Fax
(256) 582-8890
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1615 AL
Professional Counselor 101YP2500X LPC-1615 AL
Mental Health Counselor 101YM0800X LPC-1615 AL Primary

Addresses

Primary practice location

1612 Railroad Avenue
Guntersville, AL 35976-1111

Mailing address

PO Box 1001
Guntersville, AL 35976-7001
Phone (256) 582-8880

Other identifiers 2

IdentifierTypeStateIssuer
51520298LASOtherALBCBS OF ALABAMA
51522539LASOtherALFEDERAL BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425003430 AL Practitioner - Mental Health Counselor 7012365638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Alabama Counseling Center IncGroup PAC ID 3375545049, 6 clinicians

Practice addresses (Care Compare)

1612 Railroad Ave
Guntersville, AL 35976-1854
Phone (256) 582-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1615ALMDCounselor
LPC-1615ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama Counseling Center Inc Counselor CurrentSince Jan 1, 2024 Accepting new patients

Locations

1612 Railroad Ave
Guntersville, AL 35976
Phone (256) 582-8880

217 Gunter Ave
Guntersville, AL 35976
Phone (256) 582-8880

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1003968678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767001",
            "telephone_number": "256-582-8880",
            "fax_number": "256-582-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 RAILROAD AVENUE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761111",
            "telephone_number": "256-582-8880",
            "fax_number": "256-582-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSETER",
        "first_name": "JAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "1615",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC-1615",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC-1615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51520298LAS",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "51522539LAS",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.