Individual provider Active NPI

David Neal Mintz, M,A,,L.P.C.

  • Counselor
  • Birmingham, AL
National Provider Identifier
1346516051
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2090 Issued in AL
Practice address
1211 28TH St S
Suite 203
Birmingham, AL 35205-1833
Phone
(205) 879-1671
Fax
(205) 879-1671
NPI assigned
Mar 27, 2012
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2090 AL Primary
Professional Counselor 101YP2500X 2090 AL

Addresses

Primary practice location

1211 28TH St S
Suite 203
Birmingham, AL 35205-1833

Mailing address

1211 28TH St S
Suite 203
Birmingham, AL 35205-1833
Phone (205) 879-1671

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
2090ALMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1346516051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 28TH ST S",
            "address_2": "SUITE 203",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051833",
            "telephone_number": "205-879-1671",
            "fax_number": "205-879-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 28TH ST S",
            "address_2": "SUITE 203",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051833",
            "telephone_number": "205-879-1671",
            "fax_number": "205-879-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "DAVID",
        "middle_name": "NEAL",
        "name_prefix": "Mr.",
        "credential": "M,A,,L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "2090",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.