Organization Active NPI

New Vision Counseling Center,LLC

  • Community/Behavioral Health Agency
  • Montgomery, AL
National Provider Identifier
1285202457
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW VISION COUNSELING CENTER,LLC
Practice address
8436 Crossland Loop Ste 106
Montgomery, AL 36117-8522
Phone
(334) 398-0668
NPI assigned
Jun 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Tandrea Shirone Elmore, LPC, NCCNPI 1053931204
Title
Therapist
Phone
(334) 398-0668

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8436 Crossland Loop Ste 106
Montgomery, AL 36117-8522

Mailing address

8436 Crossland Loop Ste 106
Montgomery, AL 36117-8522
Phone (334) 398-0668

Other identifiers 1

IdentifierTypeStateIssuer
1053931204MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.tandreaelmore.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

8436 Crossland Loop
Ste 106
Montgomery, AL 36117
Phone (334) 398-0668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1285202457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8436 CROSSLAND LOOP STE 106",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178522",
            "telephone_number": "334-398-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8436 CROSSLAND LOOP STE 106",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178522",
            "telephone_number": "334-398-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION COUNSELING CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "TANDREA",
        "authorized_official_middle_name": "SHIRONE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "334-398-0668",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053931204",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.tandreaelmore.com",
            "affiliation": "N",
            "endpointDescription": "business link",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8436 Crossland Loop Ste 106",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361178522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.