Active NPI
Comprehensive Therapuetic Assessments and Counseling
- Community/Behavioral Health Agency
- Phenix City, AL
National Provider Identifier
1023317856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2786
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.