Individual provider Active NPI

Carla S. Adams

  • Counselor
  • Mobile, AL
National Provider Identifier
1356095053
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C4000A Issued in AL
Practice address
3929 Airport Blvd Ste 310
Mobile, AL 36609-1987
Phone
(251) 414-3599
Fax
(251) 217-4624
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C4000A AL Primary

Addresses

Primary practice location

3929 Airport Blvd Ste 310
Mobile, AL 36609-1987

Mailing address

3929 Airport Blvd Ste 310
Mobile, AL 36609-1987
Phone (251) 414-3599

Other identifiers 1

IdentifierTypeStateIssuer
8509951OtherALDL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://sunshinebhc.com Other

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
C4000AALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Behavioral Health Center, LLC PastSince Feb 13, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1356095053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 310",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091987",
            "telephone_number": "251-414-3599",
            "fax_number": "251-217-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 310",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091987",
            "telephone_number": "251-414-3599",
            "fax_number": "251-217-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CARLA",
        "middle_name": "S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "C4000A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "8509951",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sunshinebhc.com",
            "affiliation": "N",
            "endpointDescription": "https://sunshinebhc.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "https://sunshinebhc.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://sunshinebhc.com",
            "address_1": "3929 Airport Blvd Ste 310",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366091987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.