Individual provider Active NPI

Connie Fleming, LPC

  • Counselor
  • Mobile, AL
National Provider Identifier
1083645808
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
912 Issued in AL
Practice address
4321 Downtowner Loop N
Suite 105
Mobile, AL 36609-5515
Phone
(251) 455-2306
NPI assigned
Jul 6, 2006
Last updated
Mar 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 912 AL Primary

Addresses

Primary practice location

4321 Downtowner Loop N
Suite 105
Mobile, AL 36609-5515

Mailing address

4321 Downtowner Loop North
Suite 105
Mobile, AL 36609
Phone (251) 455-2306

Other identifiers 1

IdentifierTypeStateIssuer
51516108OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103003390 AL Practitioner - Mental Health Counselor 8628500634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Mobile, AL 36609
Phone (941) 499-0463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
912ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Sep 1, 2025 Accepting new patients
South Alabama Medical Clinic, LLC CurrentSince Aug 1, 2024 Accepting new patients
Optum Behavioral Care of Virginia, Inc. CurrentSince Sep 1, 2025 Accepting new patients

Locations

10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541
Phone (251) 865-1852

1110 Montlimar Dr
Ste 500
Mobile, AL 36609
Phone (251) 662-9466

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1083645808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 DOWNTOWNER LOOP NORTH",
            "address_2": "SUITE 105",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36609",
            "telephone_number": "251-455-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 DOWNTOWNER LOOP N",
            "address_2": "SUITE 105",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095515",
            "telephone_number": "251-455-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "CONNIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51516108",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.