NPIMap

Organization Active NPI

Vine Pastoral Counseling Center, Inc.

  • Marriage & Family Therapist
  • Huntsville, AL
National Provider Identifier
1255405908
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT99 Issued in AL
Legal business name
VINE PASTORAL COUNSELING CENTER, INC.
Practice address
333 Franklin St
Suite 300
Huntsville, AL 35801-4264
Phone
(256) 461-8580
Fax
(256) 517-8382
NPI assigned
Nov 17, 2006
Last updated
Mar 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Mr. Amanda W. Ragland, D.MIN.NPI 1619171113
Title
Director
Phone
(256) 461-8580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT AL
Marriage & Family Therapist 106H00000X LMFT110 AL
Marriage & Family Therapist 106H00000X LMFT126 AL
Marriage & Family Therapist 106H00000X LMFT99 AL Primary

Addresses

Primary practice location

333 Franklin St
Suite 300
Huntsville, AL 35801-4264

Mailing address

333 Franklin St
Suite 300
Huntsville, AL 35801-4264
Phone (256) 461-8580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240813001912 AL Part B Supplier - Clinic/Group Practice 2769920461 Receives reassigned benefits from 9 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

333 Franklin St SE
Ste 300
Huntsville, AL 35801
Phone (256) 270-7399

608 Church St NW
Huntsville, AL 35801
Phone (256) 270-7399

Practitioners & affiliated clinicians

Practitioners 12

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1255405908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 FRANKLIN ST",
            "address_2": "SUITE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014264",
            "telephone_number": "256-461-8580",
            "fax_number": "256-517-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FRANKLIN ST",
            "address_2": "SUITE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014264",
            "telephone_number": "256-461-8580",
            "fax_number": "256-517-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE PASTORAL COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "RAGLAND",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-461-8580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.MIN."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "LMFT",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "LMFT110",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "LMFT126",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "LMFT99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.