Active NPI
Elaine G. Rasco, LPC, LLC
- Professional Counselor
- Vestavia, AL
National Provider Identifier
1043696743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2177
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417051004 | Other | AL | NPI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Vestavia, AL
- NPI 1417051004
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.