Organization Active NPI

Defib Clinical Counseling, LLC

  • Counselor
  • Montgomery, AL
National Provider Identifier
1285415901
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
DEFIB CLINICAL COUNSELING, LLC
Practice address
1020 Monticello CT Ste 200
Montgomery, AL 36117-1968
Phone
(334) 440-6217
NPI assigned
Oct 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Mr. Jerrod Crittenden, ALC
Title
Ceo/Integrative Clinical Counselor
Phone
(334) 440-6217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1020 Monticello CT Ste 200
Montgomery, AL 36117-1968

Mailing address

1020 Monticello CT Ste 200
Montgomery, AL 36117-1968
Phone (334) 440-6217

National Provider Directory

National Provider Directory

Locations

1020 Monticello Ct
Ste 107
Montgomery, AL 36117

1020 Monticello Ct
Ste 200
Montgomery, AL 36117
Phone (334) 440-6217

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1285415901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MONTICELLO CT STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171968",
            "telephone_number": "334-440-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MONTICELLO CT STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171968",
            "telephone_number": "334-440-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFIB CLINICAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "CRITTENDEN",
        "authorized_official_first_name": "JERROD",
        "authorized_official_title_or_position": "CEO/INTEGRATIVE CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "334-440-6217",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ALC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 25, 2026; 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.