Individual provider Active NPI

Truly Pollard, LPC

  • Counselor
  • Mount Vernon, AL
National Provider Identifier
1255870085
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3669 Issued in AL
Practice address
18125 Highway 43
Mount Vernon, AL 36560
Phone
(251) 545-6398
NPI assigned
Feb 13, 2017
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3669 AL Primary
Mental Health Counselor 101YM0800X 3669 AL
Professional Counselor 101YP2500X 3669 AL

Addresses

Primary practice location

18125 Highway 43
Mount Vernon, AL 36560

Mailing address

18125 Highway 43
Mount Vernon, AL 36560-6415
Phone (251) 545-6398

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
I20240403001173 AL Practitioner - Mental Health Counselor 7416358718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3669ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Behavioral Health Center, LLC Mental Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

3929 Airport Blvd
Bldg 3
Mobile, AL 36609
Phone (251) 414-3599

3929 Airport Blvd
Ste 310
Mobile, AL 36609
Phone (251) 414-3599

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": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1255870085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18125 HIGHWAY 43",
            "city": "MOUNT VERNON",
            "state": "AL",
            "postal_code": "365606415",
            "telephone_number": "251-545-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18125 HIGHWAY 43",
            "city": "MOUNT VERNON",
            "state": "AL",
            "postal_code": "36560",
            "telephone_number": "251-545-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "TRULY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "3669",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3669",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, AL

Sources for this page

Verify at the official NPI Registry.