Organization Active NPI

Center for Marriage and Family Therapy, LLC

  • Marriage & Family Therapist
  • Huntsville, AL
National Provider Identifier
1073666244
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CENTER FOR MARRIAGE AND FAMILY THERAPY, LLC
Practice address
116 Lily Flagg Road
Suite D
Huntsville, AL 35802-3066
Phone
(256) 881-5352
Fax
(256) 881-5355
NPI assigned
Jan 19, 2007
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Mrs. Changela Vickers, MSNPI 1548584022
Title
LMFT
Phone
(256) 881-5352

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

116 Lily Flagg Road
Suite D
Huntsville, AL 35802-3066

Mailing address

116 Lily Flagg Rd SW
Suite D
Huntsville, AL 35802-3066
Phone (256) 881-5352

National Provider Directory

National Provider Directory

Locations

116 Lily Flagg Rd SW
Ste D
Huntsville, AL 35802
Phone (256) 881-5352

Practitioners & affiliated clinicians

Practitioners 7

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1073666244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LILY FLAGG RD SW",
            "address_2": "SUITE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023066",
            "telephone_number": "256-881-5352",
            "fax_number": "256-881-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LILY FLAGG ROAD",
            "address_2": "SUITE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358023066",
            "telephone_number": "256-881-5352",
            "fax_number": "256-881-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MARRIAGE AND FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "CHANGELA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "256-881-5352",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 Feb 12, 2015; 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.