Active NPI
Peggy Sanderford Ponder
- Pastoral Counselor
- Birmingham, AL
National Provider Identifier
1073845145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 11290
- Practice address
- 2117 University Blvd
Birmingham, AL 35233-3107 - Phone
- (205) 585-1713
- NPI assigned
- Feb 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 11290 | Primary | |
| Marriage & Family Therapist | 106H00000X | 64 | AL |
Addresses
Primary practice location
2117 University Blvd
Birmingham, AL 35233-3107
Mailing address
4917 Clairmont Ave S
Birmingham, AL 35222-4420
Phone (205) 585-1713
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1073845145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4917 CLAIRMONT AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352224420",
"telephone_number": "205-585-1713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2117 UNIVERSITY BLVD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352333107",
"telephone_number": "205-585-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONDER",
"first_name": "PEGGY",
"middle_name": "SANDERFORD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": "11290",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "64",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.