Active NPI
Lauren Melissa Carlisle Golden, LPC, PH.D.
- Professional Counselor
- Prattville, AL
National Provider Identifier
1144686619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3526
- Practice address
- 138 S Washington St # 105
Prattville, AL 36067-3120 - Phone
- (334) 730-3172
- NPI assigned
- Jan 13, 2016
- Last updated
- Jan 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C2304A | AL | |
| Professional Counselor | 101YP2500X | 3526 | AL | Primary |
Addresses
Primary practice location
138 S Washington St # 105
Prattville, AL 36067-3120
Mailing address
PO Box 681473
Prattville, AL 36068-1473
Phone (334) 730-3172
Other practice location 1
2681 Rocky Ridge Ln
Birmingham, AL 35216-4809
Phone (205) 945-0037
Other names 1
- Lauren Melissa Carlisle
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 |
|---|---|---|---|
| 3526 | AL | MD | Professional Counselor |
| C2304A | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformation Counseling, Inc. | Current | Accepting new patients | |
| Alabama Baptist Children's Homes Dba Pathways Professional Counseling | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prattville, AL
- NPI 1093354201
-
- Community/Behavioral Health Agency
- Birmingham, AL
- NPI 1184867491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1144686619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681473",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360681473",
"telephone_number": "334-730-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 S WASHINGTON ST # 105",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360673120",
"telephone_number": "334-730-3172"
}
],
"practiceLocations": [
{
"address_1": "2681 Rocky Ridge Ln",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352164809",
"country_code": "US",
"telephone_number": "205-945-0037",
"fax_number": "205-945-0031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLISLE GOLDEN",
"first_name": "LAUREN",
"middle_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "LPC, PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "C2304A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "3526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "CARLISLE",
"middle_name": "MELISSA",
"credential": "LPC, PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.