Organization Active NPI

Alpha Counseling Services PLLC.

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1174243679
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ALPHA COUNSELING SERVICES PLLC.
Practice address
15050 Ederberry Lane Suite 6
Fort Myers, FL 33907
Phone
(239) 214-3822
Fax
(239) 214-3822
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Johnnie TerrellNPI 1710411467
Title
Ceo/ Provider
Phone
(239) 214-3822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

15050 Ederberry Lane Suite 6
Fort Myers, FL 33907

Mailing address

15050 Ederberry Lane Suite 6
15050 Elderberry Lane Suite 6
Fort Myers, FL 33907
Phone (239) 214-3822

National Provider Directory

National Provider Directory

Locations

15050 Elderberry Ln
Ste 6
Fort Myers, FL 33907
Phone (239) 214-3822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1174243679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 EDERBERRY LANE SUITE 6",
            "address_2": "15050 ELDERBERRY LANE SUITE 6",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33907",
            "telephone_number": "239-214-3822",
            "fax_number": "239-766-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 EDERBERRY LANE SUITE 6",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33907",
            "telephone_number": "239-214-3822",
            "fax_number": "239-214-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA COUNSELING SERVICES PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2024-06-06",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_title_or_position": "CEO/ PROVIDER",
        "authorized_official_telephone_number": "239-214-3822"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.