Individual provider Active NPI

Mechelle Louise Frazier, LPC

  • Professional Counselor
  • Northport, AL
National Provider Identifier
1285199265
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4041 Issued in AL
Practice address
650 Energy Center Blvd Ste 1702
Northport, AL 35473-5802
Phone
(205) 994-4563
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4041 AL Primary

Addresses

Primary practice location

650 Energy Center Blvd Ste 1702
Northport, AL 35473-5802

Mailing address

266 Gadsden Hwy Ste 102
Birmingham, AL 35235-1022
Phone (205) 994-4563

Other practice location 1

266 Gadsden Hwy Ste 102
Birmingham, AL 35235-1022
Phone (205) 994-4563

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
I20260512000215 AL Practitioner - Mental Health Counselor 2163990839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

350 Sun Temple Dr
Madison, AL 35758-5919
Phone (256) 288-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4041ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brand New Beginnings Counseling Services LLC Professional Current Accepting new patients
Work in Progress LLC Professional Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1285199265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 GADSDEN HWY STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352351022",
            "telephone_number": "205-994-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 ENERGY CENTER BLVD STE 1702",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735802",
            "telephone_number": "205-994-4563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 Gadsden Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352351022",
            "country_code": "US",
            "telephone_number": "205-994-4563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "MECHELLE",
        "middle_name": "LOUISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.