Active NPI
Elizabeth M. Southern
- Mental Health Counselor
- Hoover, AL
National Provider Identifier
1104759950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC05988
- Practice address
- 265 Riverchase Pkwy E
Hoover, AL 35244-2899 - Phone
- (205) 675-0529
- NPI assigned
- Jun 3, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC05988 | AL | Primary |
Addresses
Primary practice location
265 Riverchase Pkwy E
Hoover, AL 35244-2899
Mailing address
4715 Thornhill Rd
Gardendale, AL 35071-4732
Phone (205) 285-4527
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 |
|---|---|---|---|
| LPC05988 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1104759950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 THORNHILL RD",
"city": "GARDENDALE",
"state": "AL",
"postal_code": "350714732",
"telephone_number": "205-285-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 RIVERCHASE PKWY E",
"city": "HOOVER",
"state": "AL",
"postal_code": "352442899",
"telephone_number": "205-675-0529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHERN",
"first_name": "ELIZABETH",
"middle_name": "M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-03",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "LPC05988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoover, AL
- Southern Care Internal Medicine PC
- Southern Medical, Inc.
- Southern Orthopaedic Alliance, PLLC
- Southern Perioperative Services P C
- Southern Smiles
- Southlake Dental Care Management
- Southlake Orthopaedics Dba Southlake Prosthetics & Orthotics
- Southlake Orthopaedics Sports Medicine and Spine Center, PC
- Southlake Orthopaedics Sports Medicine and Spine Center, PC
- Southlake Orthopaedics Sports Medicine and Spine Center, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.