Active NPI
Deborah Threadgill, LPC
- Professional Counselor
- Fayette, AL
National Provider Identifier
1265662548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1286
- Practice address
- 123 2ND Ave NW
Fayette, AL 35555-2511 - Phone
- (205) 932-3216
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- 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 | 1286 | AL | Primary |
Addresses
Primary practice location
123 2ND Ave NW
Fayette, AL 35555-2511
Mailing address
1100 7TH Ave
Jasper, AL 35501-4377
Phone (205) 302-9000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1286 | AL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1265662548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 7TH AVE",
"city": "JASPER",
"state": "AL",
"postal_code": "355014377",
"telephone_number": "205-302-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 2ND AVE NW",
"city": "FAYETTE",
"state": "AL",
"postal_code": "355552511",
"telephone_number": "205-932-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THREADGILL",
"first_name": "DEBORAH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "1286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayette, AL
- Sunshine Clinic
- Temple Emergency Group LLC
- The Arc of Fayette/Lamar/Marengo Counties Inc
- The Language Lab
- Juliet Thornton, FNP-BC
- University Orthopaedic Clinic, PC
- Urgent Care Northwest, PC (MedCenter Fayette, LLC)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1052)
- Wal-Mart Stores East, LP (Vision Center 30-1052)
- West Alabama Physician Associates LLC (Fayette General Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.