Individual provider Active NPI

Jalyn Chauntese Harris, ALC

  • Counselor
  • Birmingham, AL
National Provider Identifier
1083491385
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
ALC04505 Issued in AL
Practice address
524 Huffman Rd
Birmingham, AL 35215-8300
Phone
(205) 994-4563
Fax
(205) 206-7131
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ALC04505 AL Primary

Addresses

Primary practice location

524 Huffman Rd
Birmingham, AL 35215-8300

Mailing address

524 Huffman Rd
Birmingham, AL 35215-8300
Phone (205) 994-4563

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
ALC04505ALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Work in Progress LLC CurrentSince Jan 5, 2024 Accepting new patients

Locations

524 Huffman Rd
Birmingham, AL 35215
Phone (205) 994-4563

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1083491385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 HUFFMAN RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352158300",
            "telephone_number": "205-994-4563",
            "fax_number": "205-206-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 HUFFMAN RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352158300",
            "telephone_number": "205-994-4563",
            "fax_number": "205-206-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JALYN",
        "middle_name": "CHAUNTESE",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "ALC04505",
            "primary": true
        }
    ],
    "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 Sep 11, 2023; 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.