Granvel Andon Briggs, LPC – Mental Health Counselor

Key facts

NPI: 1316948201
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 4513 Valleydale Rd
Suite, 2
Birmingham, AL 35242-4662
Phone: (204) 451-6496
NPI assigned: Aug 2, 2005
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

4513 Valleydale Rd
Suite, 2
Birmingham, AL 35242-4662

Mailing address

4513 Valleydale Rd
Suite, 2
Birmingham, AL 35242-4662
Phone (204) 451-6496

Other identifiers

Identifier	Type	State	Issuer
2463	Other	AL	LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 19, 2010.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1316948201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 VALLEYDALE RD",
            "address_2": "SUITE, 2",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424662",
            "telephone_number": "204-451-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 VALLEYDALE RD",
            "address_2": "SUITE, 2",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424662",
            "telephone_number": "204-451-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "GRANVEL",
        "middle_name": "ANDON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2463",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

All providers in Birmingham, AL · Mental Health Counselor in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.