Individual provider Active NPI

Roslyn Sales, LPC-S

  • Mental Health Counselor
  • Madison, AL
National Provider Identifier
1295949485
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
165 Chestnut Dr Ste C
Madison, AL 35758-9525
Phone
(615) 777-9303
Fax
(855) 266-6947
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

165 Chestnut Dr Ste C
Madison, AL 35758-9525

Mailing address

165 Chestnut Dr Ste C
Madison, AL 35758-9525
Phone (615) 777-9303

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
I20240110003082 AL Practitioner - Mental Health Counselor 0941659445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 Chestnut Dr
Suite C
Madison, AL 35758-9525
Phone (615) 777-9303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2741ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral & Substance Abuse Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Locations

165 Chestnut Dr
Ste A
Madison, AL 35758

165 Chestnut Dr
Ste C
Madison, AL 35758
Phone (615) 777-9303

Interoperability endpoints

  • Direct secure messaging: roslynsales@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1295949485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CHESTNUT DR STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589525",
            "telephone_number": "615-777-9303",
            "fax_number": "855-266-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CHESTNUT DR STE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589525",
            "telephone_number": "615-777-9303",
            "fax_number": "855-266-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALES",
        "first_name": "ROSLYN",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.