Active NPI
Callie Mauldin, ALC
- Professional Counselor
- Cropwell, AL
National Provider Identifier
1336907377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- ALC04756
- Practice address
- 3440 Martin St S Ste 8
Cropwell, AL 35054-3850 - Phone
- (888) 355-7080
- Fax
- (256) 615-8632
- NPI assigned
- Mar 12, 2024
- Last updated
- Mar 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | ALC04756 | AL | Primary |
Addresses
Primary practice location
3440 Martin St S Ste 8
Cropwell, AL 35054-3850
Mailing address
PO Box 1324
Cullman, AL 35056-1324
Phone (888) 355-7080
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
| License | State | Type | Specialty |
|---|---|---|---|
| ALC04756 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellow Brick Road Counseling, LLC | Current | Accepting new patients |
Locations
3440 Martin St S
Ste 8
Cropwell, AL 35054
Phone (888) 355-7080
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Cullman, AL
- NPI 1750863460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1336907377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1324",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350561324",
"telephone_number": "888-355-7080",
"fax_number": "256-615-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 MARTIN ST S STE 8",
"city": "CROPWELL",
"state": "AL",
"postal_code": "350543850",
"telephone_number": "888-355-7080",
"fax_number": "256-615-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAULDIN",
"first_name": "CALLIE",
"credential": "ALC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "ALC04756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cropwell, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.