Active NPI
T. David Cunningham Jr., LPC; NBCC
- Professional Counselor
- Jacksonville, AL
National Provider Identifier
1083994826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1488
- Practice address
- 231 Cove Rd
Jacksonville, AL 36265-6237 - Phone
- (256) 435-9346
- NPI assigned
- Aug 24, 2011
- Last updated
- Aug 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1488 | AL | Primary |
Addresses
Primary practice location
231 Cove Rd
Jacksonville, AL 36265-6237
Mailing address
231 Cove Rd
Jacksonville, AL 36265-6237
Phone (256) 435-9346
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1488 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1083994826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 COVE RD",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362656237",
"telephone_number": "256-435-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 COVE RD",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "362656237",
"telephone_number": "256-435-9346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "T.",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "LPC; NBCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-24",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "1488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, AL
- Countryside Hospice Care Inc (SolAmore Hospice Jacksonville)
- Rebecca Desha Cox
- Crow Drug Inc (Crow Drug Store)
- Andra Cunningham
- Bruce Edward Cunningham, DMD
- Chandler Shannon Cupp
- Krystin Paige Cuthrell, LPC
- Dakota B Clark DMD LLC (Jacksonville Comprehensive Dentistry)
- David G. Chandler, O.D.,P.C.
- Amanda Davis, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.