Active NPI
Larry Cantor, PHD
- Professional Counselor
- Madison, AL
National Provider Identifier
1144317835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 851
- Practice address
- 190 Lime Quarry Rd.
Ste 116
Madison, AL 35758 - Phone
- (256) 461-8896
- Fax
- (256) 461-8897
- NPI assigned
- Oct 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 851 | AL | |
| Professional Counselor | 101YP2500X | 851 | AL | Primary |
Addresses
Primary practice location
190 Lime Quarry Rd.
Ste 116
Madison, AL 35758
Mailing address
190 Lime Quarry Rd
Ste 116
Madison, AL 35758
Phone (256) 461-8896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-99661 | Other | AL | FEDERAL BLUE CROSS NO |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 851 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1144317835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 LIME QUARRY RD",
"address_2": "STE 116",
"city": "MADISON",
"state": "AL",
"postal_code": "35758",
"telephone_number": "256-461-8896",
"fax_number": "256-461-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 LIME QUARRY RD.",
"address_2": "STE 116",
"city": "MADISON",
"state": "AL",
"postal_code": "35758",
"telephone_number": "256-461-8896",
"fax_number": "256-461-8897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTOR",
"first_name": "LARRY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "851",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUE CROSS NO",
"identifier": "510-99661",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.