Individual provider Active NPI

Elizabeth House, ALC

  • Mental Health Counselor
  • Camden, AL
National Provider Identifier
1245080621
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ALC03945 Issued in AL
Practice address
45 Camden Byp
Camden, AL 36726-1751
Phone
(334) 682-4499
Fax
(334) 682-4615
NPI assigned
Mar 26, 2024
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ALC03945 AL Primary

Addresses

Primary practice location

45 Camden Byp
Camden, AL 36726-1751

Mailing address

45 Camden Byp
Camden, AL 36726-1751
Phone (334) 682-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20241113004122 AL Practitioner - Mental Health Counselor 8022542034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Center for Mental Health and Mental RetardationGroup PAC ID 2567405384, 10 clinicians

Practice addresses (Care Compare)

1017 Medical Ctr Pkwy
Selma, AL 36701-6780
Phone (334) 875-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ALC03945ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Center for Mental Health and Mental Retardation CurrentSince Oct 15, 2024 Accepting new patients

Locations

45 Camden Byp
Camden, AL 36726
Phone (334) 682-4499

1017 Medical Center Pkwy
Selma, AL 36701
Phone (334) 875-2100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1245080621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CAMDEN BYP",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261751",
            "telephone_number": "334-682-4499",
            "fax_number": "334-682-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CAMDEN BYP",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261751",
            "telephone_number": "334-682-4499",
            "fax_number": "334-682-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "ELIZABETH",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC03945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, AL

Sources for this page

Verify at the official NPI Registry.