Active NPI
Byanca Underwood, ALC, NCC
- Mental Health Counselor
- Trussville, AL
National Provider Identifier
1376362194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ALC05064
- Practice address
- 5690 Longview TRL
Trussville, AL 35173-3644 - Phone
- (205) 238-0644
- NPI assigned
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ALC05064 | AL | Primary |
Addresses
Primary practice location
5690 Longview TRL
Trussville, AL 35173-3644
Mailing address
5690 Longview TRL
Trussville, AL 35173-3644
Phone (205) 238-0644
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 |
|---|---|---|---|
| ALC05064 | AL | MD | Mental Health Counselor |
Interoperability endpoints
- byanca.underwood@489656322949124.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1376362194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5690 LONGVIEW TRL",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351733644",
"telephone_number": "205-238-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5690 LONGVIEW TRL",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351733644",
"telephone_number": "205-238-0644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "BYANCA",
"credential": "ALC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "ALC05064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trussville, AL
- Trussville Orthodontics LLC (Orthodontics East)
- Trussville Pediatric Dentistry
- Trussville Spine Center LLC
- Trussville Total Care Pharmacy LLC (Carroll Pharmacy Trussville)
- Twelve Dental (Bill F Turner, DMD)
- Stefan J Vila, DDS, MD
- Katherine Vines, LMT,NMT
- Thomas Gerald Walker, D.M.D.
- Jermaine A Wall, LICSW
- Patricia Watts, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.