Organization Active NPI

Cottage Hill Counseling Services, LLC

Doing business as Cottage Hill Counseling Services

  • Clinical Social Worker
  • Mobile, AL
National Provider Identifier
1053803684
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1494C Issued in AL
Legal business name
COTTAGE HILL COUNSELING SERVICES, LLC
Doing business as
Cottage Hill Counseling Services
Practice address
6925 Cottage Hill Rd Ste E
Mobile, AL 36695-3715
Phone
(251) 300-9192
Fax
(251) 800-7245
NPI assigned
May 30, 2018
Last updated
Nov 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Dr. Barbara Elizabeth Delisle, PHD, LICSWNPI 1336555093
Title
Owner
Phone
(251) 300-9192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1494C AL Primary

Addresses

Primary practice location

6925 Cottage Hill Rd Ste E
Mobile, AL 36695-3715

Mailing address

6925 Cottage Hill Rd Ste E
Mobile, AL 36695-3715
Phone (251) 300-9192

Other names 1

  • Cottage Hill Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180815001649 AL Part B Supplier - Clinic/Group Practice 0244589869 Receives reassigned benefits from 1 practitioner
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1053803684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 COTTAGE HILL RD STE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953715",
            "telephone_number": "251-300-9192",
            "fax_number": "251-800-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 COTTAGE HILL RD STE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953715",
            "telephone_number": "251-300-9192",
            "fax_number": "251-800-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE HILL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "DELISLE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-300-9192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1494C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottage Hill Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.