NPIMap

Organization Active NPI

Tri-Rivers Counseling Associates LLC

  • Counselor
  • Montgomery, AL
National Provider Identifier
1356962765
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
TRI-RIVERS COUNSELING ASSOCIATES LLC
Practice address
8650 Minnie Brown Rd Ste 233
Montgomery, AL 36117-7433
Phone
(334) 697-3590
NPI assigned
Apr 27, 2020
Last updated
Aug 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Jamecha HillNPI 1053882860
Title
Licensed Counselor
Phone
(334) 697-3590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

8650 Minnie Brown Rd Ste 233
Montgomery, AL 36117-7433

Mailing address

PO Box 682140
Prattville, AL 36068-2140
Phone (334) 697-3590

Other practice location 1

4750 Woodmere Blvd Ste G
Montgomery, AL 36106-3086
Phone (334) 697-3590

Other identifiers 1

IdentifierTypeStateIssuer
1053882860MedicaidAL

National Provider Directory

National Provider Directory

Locations

4750 Woodmere Blvd
Ste G
Montgomery, AL 36106
Phone (334) 697-3590

8650 Minnie Brown Rd
Ste 233
Montgomery, AL 36117
Phone (334) 697-3590

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1356962765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682140",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360682140",
            "telephone_number": "334-697-3590",
            "fax_number": "334-781-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 MINNIE BROWN RD STE 233",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177433",
            "telephone_number": "334-697-3590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Woodmere Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361063086",
            "country_code": "US",
            "telephone_number": "334-697-3590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-RIVERS COUNSELING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JAMECHA",
        "authorized_official_title_or_position": "LICENSED COUNSELOR",
        "authorized_official_telephone_number": "334-697-3590"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053882860",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.