Organization Active NPI

Vista Counseling and Consultation Services, LLC

  • Community/Behavioral Health Agency
  • Wetumpka, AL
National Provider Identifier
1093343592
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VISTA COUNSELING AND CONSULTATION SERVICES, LLC
Practice address
7358 US Highway 231
Wetumpka, AL 36092-2053
Phone
(334) 245-4080
Fax
(334) 269-7826
NPI assigned
Mar 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Mrs. Lachandra Brooks-Prim, LPCNPI 1144795139
Title
Owner/Therapist
Phone
(334) 245-4080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7358 US Highway 231
Wetumpka, AL 36092-2053

Mailing address

7358 US Highway 231
Wetumpka, AL 36092-2053
Phone (334) 245-4080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230217000948 AL Part B Supplier - Clinic/Group Practice 6507238623 Receives reassigned benefits from 2 practitioners
Practice locations: Wetumpka, AL

National Provider Directory

National Provider Directory

Locations

7358 US Highway 231
Wetumpka, AL 36092
Phone (334) 245-4080

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1093343592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7358 US HIGHWAY 231",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360922053",
            "telephone_number": "334-245-4080",
            "fax_number": "334-269-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7358 US HIGHWAY 231",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360922053",
            "telephone_number": "334-245-4080",
            "fax_number": "334-269-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA COUNSELING AND CONSULTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "BROOKS-PRIM",
        "authorized_official_first_name": "LACHANDRA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "334-245-4080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumpka, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.