Individual provider Active NPI

David Alex Farris, LAC

  • Professional Counselor
  • Decatur, AL
National Provider Identifier
1154800563
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC05586 Issued in AL
Practice address
2128 6TH Ave SE Ste 504
Decatur, AL 35601-6563
Phone
(479) 310-6925
NPI assigned
Aug 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1808120 AR
Professional Counselor 101YP2500X LPC05586 AL Primary

Addresses

Primary practice location

2128 6TH Ave SE Ste 504
Decatur, AL 35601-6563

Mailing address

2128 6TH Ave SE Ste 504
Decatur, AL 35601-6563
Phone (479) 310-6925

Other practice location 1

2003 SE Walton Blvd
Bentonville, AR 72712
Phone (479) 725-6000

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

LicenseStateTypeSpecialty
A1808120ARMDMental Health Counselor
LPC05586ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flinn Counseling and Consulting Dba Alex Farris Counseling Mental Health CurrentSince Jun 15, 2025 Accepting new patients

Locations

2128 6th Ave SE
Ste 504
Decatur, AL 35601
Phone (256) 207-8173

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1154800563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 6TH AVE SE STE 504",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016563",
            "telephone_number": "479-310-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 6TH AVE SE STE 504",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016563",
            "telephone_number": "479-310-6925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 SE Walton Blvd",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "72712",
            "country_code": "US",
            "telephone_number": "479-725-6000",
            "fax_number": "479-750-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "DAVID",
        "middle_name": "ALEX",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1808120",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.