Wanda Gothard

Primary specialty

CounselorTaxonomy code 101Y00000X

License

3499 Issued in AL

Practice address

808 Lay Dam Rd
Clanton, AL 35045-2943

Phone

(205) 280-7733

NPI assigned

Nov 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25772/brand/1/csg/1/fhir/r4

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.

• Holistic Wellness Group, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clanton, AL
  • NPI 1891369823
  NPD
• The Wellness Group, LLC

  • Professional Counselor
  • Clanton, AL
  • NPI 1932456134
  NPD

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1063178291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COUNTY ROAD 124",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "350854025",
            "telephone_number": "205-955-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452943",
            "telephone_number": "205-280-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTHARD",
        "first_name": "WANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Keith Funderburk, MD
• Katie Rebecca Fussell, PHARM D
• Gadsden Hearing Aid, Inc.
• Tracey Johnson Garrett, LMSW
• Sharon Glass, DMD
• Rhonda Hadder
• Rex Blewster Hall, DMD
• Amanda Halstead
• Tondia Harrell
• Christina Arnold Harrison

• All providers in Clanton, AL
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.