Individual provider Active NPI

Alexis Shivers Sapp

  • Professional Counselor
  • Vestavia, AL
National Provider Identifier
1295267300
Registry record updated Sep 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2906 Issued in AL
Practice address
1025 Montgomery Hwy
Vestavia, AL 35216-3521
Phone
(205) 530-8743
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 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 2906 AL Primary

Addresses

Primary practice location

1025 Montgomery Hwy
Vestavia, AL 35216-3521

Mailing address

1025 Montgomery Hwy
Vestavia Hills, AL 35216-2845
Phone (205) 401-6404

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL VestaviaHill Direct

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
2906ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Child & Adolescent Counseling Services Professional CurrentSince Sep 15, 2019 Accepting new patients

Locations

1025 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 530-8743

Organizations & group practices 1

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567814400000",
    "number": "1295267300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MONTGOMERY HWY",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162845",
            "telephone_number": "205-401-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MONTGOMERY HWY",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163521",
            "telephone_number": "205-530-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPP",
        "first_name": "ALEXIS",
        "middle_name": "SHIVERS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2019-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "VestaviaHill",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "VestaviaHill",
            "address_1": "1025 Montgomery Hwy",
            "city": "Vestavia",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352163521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; 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.