Organization Active NPI

Barack, PLLC

  • Professional Counselor
  • Huntsville, AL
National Provider Identifier
1104388651
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BARACK, PLLC
Practice address
3109 Gayhart Dr NW
Huntsville, AL 35810-3067
Phone
(256) 500-9933
Fax
(256) 952-9033
NPI assigned
Apr 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Dr. Jennifer Parker Ayers, PHD, LPC
Title
Principal
Phone
(240) 701-8809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3109 Gayhart Dr NW
Huntsville, AL 35810-3067

Mailing address

PO Box 11308
Huntsville, AL 35814-1308
Phone (240) 701-8809

Other names 1

  • Barack Behavioral Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1104388651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11308",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358141308",
            "telephone_number": "240-701-8809",
            "fax_number": "256-952-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 GAYHART DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103067",
            "telephone_number": "256-500-9933",
            "fax_number": "256-952-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARACK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "240-701-8809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barack Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.