Organization Active NPI

Rocket City Behavioral Health & Billing, LLC

  • Mental Health Counselor
  • Madison, AL
National Provider Identifier
1164268595
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ROCKET CITY BEHAVIORAL HEALTH & BILLING, LLC
Practice address
4095 Lawson Ridge Dr Apt 1308
Madison, AL 35757-7232
Phone
(256) 585-4991
Fax
(256) 314-9439
NPI assigned
Jul 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Mr. Andrew Harless, MS-SHMA, BSW
Title
Owner
Phone
(256) 585-4991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4095 Lawson Ridge Dr Apt 1308
Madison, AL 35757-7232

Mailing address

4095 Lawson Ridge Dr Apt 1308
Madison, AL 35757-7232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1164268595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 LAWSON RIDGE DR APT 1308",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357577232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 LAWSON RIDGE DR APT 1308",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357577232",
            "telephone_number": "256-585-4991",
            "fax_number": "256-314-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKET CITY BEHAVIORAL HEALTH & BILLING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "HARLESS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-585-4991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS-SHMA, BSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 22, 2024; 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.