Individual provider Active NPI

Lauren Melissa Carlisle Golden, LPC, PH.D.

  • Professional Counselor
  • Prattville, AL
National Provider Identifier
1144686619
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3526 Issued in AL
Practice address
138 S Washington St # 105
Prattville, AL 36067-3120
Phone
(334) 730-3172
NPI assigned
Jan 13, 2016
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
3526ALMDProfessional Counselor
C2304AALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformation Counseling, Inc. CurrentSince Jan 12, 2020 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.

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.

Verify at the official NPI Registry.