Organization Active NPI

Comprehensive Therapuetic Assessments and Counseling

  • Community/Behavioral Health Agency
  • Phenix City, AL
National Provider Identifier
1023317856
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2786 Issued in AL
Legal business name
COMPREHENSIVE THERAPUETIC ASSESSMENTS AND COUNSELING
Practice address
915 12TH St
Phenix City, AL 36867-5821
Phone
(334) 614-0959
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Rudolph Martin, NCC, LPC
Title
Clinical Director
Phone
(334) 614-0959

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2786 AL Primary
Community/Behavioral Health Agency 251S00000X LPC005656 GA

Addresses

Primary practice location

915 12TH St
Phenix City, AL 36867-5821

Mailing address

915 12TH St
Phenix City, AL 36867-5821
Phone (334) 614-0959

National Provider Directory

National Provider Directory

Locations

915 12th St
Phenix City, AL 36867
Phone (334) 614-0959

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1023317856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 12TH ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675821",
            "telephone_number": "334-614-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 12TH ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368675821",
            "telephone_number": "334-614-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE THERAPUETIC ASSESSMENTS AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "334-614-0959",
        "authorized_official_credential": "NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "2786",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC005656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phenix City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.