Individual provider Active NPI

Chanda Dabbs

  • Counselor
  • Cullman, AL
National Provider Identifier
1063232874
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
ALC05063 Issued in AL
Practice address
198 US Highway 278 E
Cullman, AL 35055-0690
Phone
(888) 355-7080
Fax
(256) 615-8632
NPI assigned
Oct 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ALC05063 AL Primary

Addresses

Primary practice location

198 US Highway 278 E
Cullman, AL 35055-0690

Mailing address

PO Box 1324
Cullman, AL 35056-1324
Phone (888) 355-7080

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
ALC05063ALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yellow Brick Road Counseling, LLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

198 US Highway 278 E
Cullman, AL 35055
Phone (888) 355-7080

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": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1063232874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1324",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350561324",
            "telephone_number": "888-355-7080",
            "fax_number": "256-615-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 US HIGHWAY 278 E",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350550690",
            "telephone_number": "888-355-7080",
            "fax_number": "256-615-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBS",
        "first_name": "CHANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "ALC05063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.