Active NPI
M Roxanne Wysock, LPC
- Professional Counselor
- Huntsville, AL
National Provider Identifier
1053415323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2301
- Practice address
- One Hospital Dr
Behavioral Health-Crestwood Medical Center
Huntsville, AL 35801 - Phone
- (256) 880-4261
- Fax
- (256) 880-4248
- NPI assigned
- Sep 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2301 | AL | Primary |
Addresses
Primary practice location
One Hospital Dr
Behavioral Health-Crestwood Medical Center
Huntsville, AL 35801
Mailing address
One Hospital Dr
Behavioral Health-Crestwood Medical Center
Huntsville, AL 35801
Phone (256) 880-4261
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2301 | AL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053415323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE HOSPITAL DR",
"address_2": "BEHAVIORAL HEALTH-CRESTWOOD MEDICAL CENTER",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-880-4261",
"fax_number": "256-880-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE HOSPITAL DR",
"address_2": "BEHAVIORAL HEALTH-CRESTWOOD MEDICAL CENTER",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-880-4261",
"fax_number": "256-880-4248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYSOCK",
"first_name": "M",
"middle_name": "ROXANNE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.