Organization Active NPI

Impact Family Counseling

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1386971125
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1513 Issued in AL
Legal business name
IMPACT FAMILY COUNSELING
Practice address
1000 24TH St S
Birmingham, AL 35205-2308
Phone
(205) 916-0123
Fax
(205) 916-0878
NPI assigned
Nov 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
George Casey, EDNPI 1962873067
Title
President
Phone
(205) 916-0123

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 1513 AL Primary

Addresses

Primary practice location

1000 24TH St S
Birmingham, AL 35205-2308

Mailing address

1000 24TH St S
Birmingham, AL 35205-2308
Phone (205) 916-0123

National Provider Directory

National Provider Directory

Locations

1000 24th St S
Birmingham, AL 35205
Phone (205) 916-0123

701 Montgomery Hwy
Ste 202
Vestavia Hills, AL 35216
Phone (205) 916-0123

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1386971125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 24TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052308",
            "telephone_number": "205-916-0123",
            "fax_number": "205-916-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 24TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052308",
            "telephone_number": "205-916-0123",
            "fax_number": "205-916-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-916-0123",
        "authorized_official_credential": "ED"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1513",
            "primary": true
        }
    ],
    "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 Nov 16, 2009; 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.