Melissa Sanchez

Individual provider Active NPI Mental Health Counselor · Fultondale, AL

NPI 1225879802 · NPPES record last updated Jul 31, 2024

Key facts

NPI
1225879802
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
ALC04966 (AL)
Practice address
516 1St St
Fultondale, AL 35068-1944
Phone
(575) 993-3676
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ALC04966ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Therapy Services, LLC Past
since Jun 1, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ALC04966 AL Yes

Addresses

Primary practice location

516 1St St
Fultondale, AL 35068-1944

Mailing address

516 1St St
Fultondale, AL 35068-1944

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 31, 2024.

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1225879802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 1ST ST",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 1ST ST",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681944",
            "telephone_number": "575-993-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC04966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fultondale, AL

All providers in Fultondale, AL · Mental Health Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.