Individual provider Active NPI

Clifton R. Winslett, M. ED., L.P.C.

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1013050376
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1553 Issued in AL
Practice address
4984 Meadow Brook Rd
Meadow Brook Baptist Church
Birmingham, AL 35242-3133
Phone
(205) 669-3225
Fax
(205) 669-5259
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1553 AL Primary

Addresses

Primary practice location

4984 Meadow Brook Rd
Meadow Brook Baptist Church
Birmingham, AL 35242-3133

Mailing address

30 Old Lokey Ferry Rd
Wilsonville, AL 35186-8104
Phone (205) 669-3225

Other identifiers 7

IdentifierTypeStateIssuer
14145OtherALBLUE CROSS BLUE SHIELD
51099685OtherALBCBS ABBM COLUMBIANA
51099686OtherALBCBS ABBM SYLACAUGA
51099684OtherALBCBS ABBM MEADOWBROOK
7747363OtherALAETNA
A0090OtherALU.S. POSTAL SERVICE EAP
51514145WINOtherALBCBS MEADOWBROOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1553ALMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013050376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OLD LOKEY FERRY RD",
            "city": "WILSONVILLE",
            "state": "AL",
            "postal_code": "351868104",
            "telephone_number": "205-669-3225",
            "fax_number": "205-669-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4984 MEADOW BROOK RD",
            "address_2": "MEADOW BROOK BAPTIST CHURCH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423133",
            "telephone_number": "205-669-3225",
            "fax_number": "205-669-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSLETT",
        "first_name": "CLIFTON",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "M. ED., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14145",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ABBM COLUMBIANA",
            "identifier": "51099685",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ABBM SYLACAUGA",
            "identifier": "51099686",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ABBM MEADOWBROOK",
            "identifier": "51099684",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7747363",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. POSTAL SERVICE EAP",
            "identifier": "A0090",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MEADOWBROOK",
            "identifier": "51514145WIN",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.