Individual provider Active NPI

Deborah Shunnarah, ALC

  • Mental Health Counselor
  • Mountain BRK, AL
National Provider Identifier
1043082290
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ALC04530 Issued in AL
Practice address
400 Office Park Dr Ste 112
Mountain BRK, AL 35223-3409
Phone
(205) 202-1143
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ALC04530 AL Primary

Addresses

Primary practice location

400 Office Park Dr Ste 112
Mountain BRK, AL 35223-3409

Mailing address

400 Office Park Dr Ste 112
Mountain BRK, AL 35223-3409
Phone (205) 202-1143

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

State licenses

LicenseStateTypeSpecialty
ALC04530ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Counseling & Consulting LLC Current Accepting new patients

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1043082290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OFFICE PARK DR STE 112",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352233409",
            "telephone_number": "205-202-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OFFICE PARK DR STE 112",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352233409",
            "telephone_number": "205-202-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUNNARAH",
        "first_name": "DEBORAH",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC04530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.