Organization Active NPI

Sanavitatherapy

  • Mental Health Counselor
  • Birmingham, AL
National Provider Identifier
1093413718
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SANAVITATHERAPY
Practice address
2344 Valleydale Rd Ste B
Birmingham, AL 35244-2074
Phone
(205) 775-7757
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Richard Dale Fallin, LPCSNPI 1053457861
Title
Owner
Phone
(256) 590-2988

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2344 Valleydale Rd Ste B
Birmingham, AL 35244-2074

Mailing address

2312 Mountain Run
Birmingham, AL 35244-1930
Phone (205) 775-7757

Other identifiers 1

IdentifierTypeStateIssuer
512-87016OtherALBCBS

National Provider Directory

National Provider Directory
Tax ID family
Richard Fallin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2344 Valleydale Rd
Ste B
Hoover, AL 35244
Phone (205) 775-7757

Practitioners & affiliated clinicians

Practitioners 1

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": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1093413718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 MOUNTAIN RUN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441930",
            "telephone_number": "205-775-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 VALLEYDALE RD STE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352442074",
            "telephone_number": "205-775-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANAVITATHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "FALLIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-590-2988",
        "authorized_official_credential": "LPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "512-87016",
            "state": "AL"
        }
    ],
    "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 Feb 22, 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.