Organization Active NPI

Elaine G. Rasco, LPC, LLC

  • Professional Counselor
  • Vestavia, AL
National Provider Identifier
1043696743
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2177 Issued in AL
Legal business name
ELAINE G. RASCO, LPC, LLC
Practice address
4268 Cahaba Heights CT Ste 190
Vestavia, AL 35243-5711
Phone
(205) 253-6520
Fax
(205) 259-1626
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Ms. Mary Elaine Gamel-Rasco, M.DIV., M.ED
Title
Licensed Professional Counselor
Phone
(205) 253-6520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2177 AL Primary

Addresses

Primary practice location

4268 Cahaba Heights CT Ste 190
Vestavia, AL 35243-5711

Mailing address

1733 Linthicum St
Birmingham, AL 35217-3214
Phone (205) 253-6520

Other identifiers 1

IdentifierTypeStateIssuer
1417051004OtherALNPI

National Provider Directory

National Provider Directory

Locations

4268 Cahaba Heights Ct
Ste 190
Vestavia, AL 35243
Phone (205) 253-6520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1043696743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 LINTHICUM ST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352173214",
            "telephone_number": "205-253-6520",
            "fax_number": "205-259-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4268 CAHABA HEIGHTS CT STE 190",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435711",
            "telephone_number": "205-253-6520",
            "fax_number": "205-259-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE G. RASCO, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "GAMEL-RASCO",
        "authorized_official_first_name": "MARY ELAINE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "205-253-6520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.DIV., M.ED"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417051004",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.