Individual provider Active NPI

John Nathaniel McAnulty, LPC-S

  • Professional Counselor
  • Dothan, AL
National Provider Identifier
1174159883
Registry record updated Mar 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2990 Issued in AL
Practice address
100 Woodcreek Dr
Dothan, AL 36301-6204
Phone
(205) 913-3400
NPI assigned
Mar 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2990 AL Primary

Addresses

Primary practice location

100 Woodcreek Dr
Dothan, AL 36301-6204

Mailing address

100 Woodcreek Dr
Dothan, AL 36301-6204
Phone (205) 913-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218001534 VA Practitioner - Mental Health Counselor 9234588179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

509 Old Great Neck Rd
Suite 203
Virginia Beach, VA 23454-3358
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2990ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

509 Old Great Neck Rd
Ste 203
Virginia Beach, VA 23454
Phone (479) 381-7603

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": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1174159883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOODCREEK DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363016204",
            "telephone_number": "205-913-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODCREEK DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363016204",
            "telephone_number": "205-913-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANULTY",
        "first_name": "JOHN",
        "middle_name": "NATHANIEL",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.