Active NPI
Jerrel Edward Ivey, LPC
- Professional Counselor
- Montgomery, AL
National Provider Identifier
1215925706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC #1147
- Practice address
- 6324 Woodmere Blvd
Montgomery, AL 36117-2537 - Phone
- (334) 272-3889
- Fax
- (334) 272-4089
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC #1147 | AL | Primary |
Addresses
Primary practice location
6324 Woodmere Blvd
Montgomery, AL 36117-2537
Mailing address
PO Box 230310
Montgomery, AL 36123-0310
Phone (334) 272-3889
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC #1147 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Medicine LLC | Past | Accepting new patients | |
| David D Hall DO PC | 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.
-
- Mental Health Counselor
- Montgomery, AL
- NPI 1326423781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215925706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230310",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361230310",
"telephone_number": "334-272-3889",
"fax_number": "334-272-4089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6324 WOODMERE BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361172537",
"telephone_number": "334-272-3889",
"fax_number": "334-272-4089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "JERREL",
"middle_name": "EDWARD",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC #1147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.