Individual provider Active NPI

Norma Elaine Eubanks, LCSW, PIP

  • Professional Counselor
  • Daphne, AL
National Provider Identifier
1295044386
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCSW 1372C Issued in AL
Practice address
27625 US Highway 98 BLDG a
Daphne, AL 36526-4816
Phone
(251) 626-7959
Fax
(251) 626-6122
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCSW 1372C AL Primary
Professional Counselor 101YP2500X PIP 443 1372C AL

Addresses

Primary practice location

27625 US Highway 98 BLDG a
Daphne, AL 36526-4816

Mailing address

27625 US Highway 98 BLDG a
Daphne, AL 36526-4816
Phone (251) 626-7959

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 1372CALMDProfessional Counselor
PIP 443 1372CALMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1295044386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27625 US HIGHWAY 98 BLDG A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264816",
            "telephone_number": "251-626-7959",
            "fax_number": "251-626-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27625 US HIGHWAY 98 BLDG A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264816",
            "telephone_number": "251-626-7959",
            "fax_number": "251-626-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "NORMA",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LCSW 1372C",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "PIP 443 1372C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.