Organization Active NPI

West Alabama Mental Health Board

  • Mental Illness Community Based Residential Treatment Facility
  • Demopolis, AL
National Provider Identifier
1083781785
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
WEST ALABAMA MENTAL HEALTH BOARD
Practice address
1215 S Walnut Ave
Demopolis, AL 36732-3615
Phone
(334) 289-2410
Fax
(334) 289-2416
NPI assigned
Nov 29, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Kelley Parris Barnes, MSM
Title
Executive Director
Phone
(334) 289-2410

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1215 S Walnut Ave
Demopolis, AL 36732-3615

Mailing address

1215 S Walnut Ave
P.O. Box 260
Demopolis, AL 36732-3615
Phone (334) 289-2410

Other identifiers 1

IdentifierTypeStateIssuer
3300000000MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160922000254 AL Part B Supplier - Clinic/Group Practice 6901700913 Receives reassigned benefits from 1 practitioner
Practice locations: Butler, AL; Eutaw, AL; Demopolis, AL

National Provider Directory

National Provider Directory

Locations

401 Rogers Ave
Butler, AL 36904
Phone (205) 459-2612

1215 S Walnut Ave
Demopolis, AL 36732
Phone (334) 289-2410

401 1st St
Greensboro, AL 36744
Phone (334) 624-4905

104 Hospital Dr
Livingston, AL 35470
Phone (205) 652-6731

Practitioners & affiliated clinicians

Practitioners 4

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083781785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S WALNUT AVE",
            "address_2": "P.O. BOX 260",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367323615",
            "telephone_number": "334-289-2410",
            "fax_number": "334-289-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S WALNUT AVE",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367323615",
            "telephone_number": "334-289-2410",
            "fax_number": "334-289-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ALABAMA MENTAL HEALTH BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "PARRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-289-2410",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3300000000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Demopolis, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.