Premier Mental Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2557 Issued in AL

Legal business name

PREMIER MENTAL HEALTH SERVICES LLC

Practice address

816 2ND St
Birmingham, AL 35214-5312

Phone

(205) 910-4168

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. April Anderson Calvin, LPC

Title

Partner/Clinical Director

Phone

(205) 910-4168

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 3

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

• Maxine Williford Fuller, M.A., LPC, ED.D

  • Professional Counselor
  • Birmingham, AL
  • NPI 1932555711

  AL

  Medicare reassignment NPD
• Kristi Wilson Myricks, LPC

  • Professional Counselor
  • Birmingham, AL
  • NPI 1609201391

  AL

  Medicare reassignment NPD
• Vevelyn Peterson Wilson, LICSW

  • Clinical Social Worker
  • Gardendale, AL
  • NPI 1831947746

  AL

  Medicare reassignment NPD

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1043766009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311655",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352311655",
            "telephone_number": "205-910-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 2ND ST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352145312",
            "telephone_number": "205-910-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "CALVIN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "PARTNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "205-910-4168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "2557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Premise Health of Alabama Medical PC
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• James Prentice, PHARMD

• All providers in Birmingham, AL
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.