Individual provider Active NPI

Sydney Alexandria Wasdin, LPC

  • Mental Health Counselor
  • Daphne, AL
National Provider Identifier
1043947823
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC04694 Issued in AL
Practice address
8851 Rand Ave Ste B
Daphne, AL 36526-9138
Phone
(251) 583-6321
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 LPC04694 AL Primary

Addresses

Primary practice location

8851 Rand Ave Ste B
Daphne, AL 36526-9138

Mailing address

42150 Carlee LN
Bay Minette, AL 36507-8455
Phone (251) 583-6321

Other identifiers 1

IdentifierTypeStateIssuer
LPC04694OtherALLICENSED PROFESSIONAL COUNSELOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.simplepractice.com

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
LPC04694ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True Therapy LLC Mental Health CurrentSince Aug 7, 2022 Accepting new patients

Locations

8851 Rand Ave
#B
Daphne, AL 36526
Phone (251) 250-9440

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1043947823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42150 CARLEE LN",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365078455",
            "telephone_number": "251-583-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 RAND AVE STE B",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269138",
            "telephone_number": "251-583-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASDIN",
        "first_name": "SYDNEY",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC04694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC04694",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "address_1": "8851 Rand Ave Ste B",
            "city": "Daphne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365269138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.