Trevin Martin Rider, ALC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ALC05212 Issued in AL

Practice address

1051 Oak Mountain Dr
Pelham, AL 35124-1324

Phone

(205) 358-7311

Fax

(205) 319-1922

NPI assigned

Feb 25, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Freedom Therapies, Inc.

  • Behavior Analyst
  • Pelham, AL
  • NPI 1871177204
  NPD

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1316743735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 OAK MOUNTAIN DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241324",
            "telephone_number": "205-358-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 OAK MOUNTAIN DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241324",
            "telephone_number": "205-358-7311",
            "fax_number": "205-319-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "TREVIN",
        "middle_name": "MARTIN",
        "credential": "ALC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC05212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa L Rhea, PHARMD
• Kaylen Renee Rhoades, NP
• Susan A Richards
• Leslie Joan Richardson, PT
• Kimberlee Danielle Rider, MS, BCBA, LBA
• Kai Rinkowski, OD
• Rise Physio and Performance, LLC
• Leska M Roberson, LPC
• Diana Robertson, PHARMD
• Michelle Frisbee Robertson, MS.CCC/SLP

• Mental Health Counselor in Pelham, AL
• Providers in Pelham, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.