Active NPI
Freedom Source Inc
- Prevention Professional
- Birmingham, AL
National Provider Identifier
1396409496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- Legal business name
- FREEDOM SOURCE INC
- Doing business as
- Addiction Prevention Coalition
- Practice address
- 105 Vulcan Rd Ste 332
Birmingham, AL 35209-4701 - Phone
- (205) 972-8264
- NPI assigned
- Oct 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ashley Brook Loftis, LPC, NCC, CPS
- Title
- Prevention Navigator
- Phone
- (205) 972-8264
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | Primary |
Addresses
Primary practice location
105 Vulcan Rd Ste 332
Birmingham, AL 35209-4701
Mailing address
105 Vulcan Rd Ste 332
Birmingham, AL 35209-4701
Phone (205) 972-8264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7516 | Other | AL | ALABAMA DEPARTMENT OF MENTAL HEALTH |
Other names 1
- Addiction Prevention Coalition
National Provider Directory
National Provider DirectoryLocations
105 Vulcan Rd
Ste 332
Birmingham, AL 35209
Phone (205) 972-8264
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Birmingham, AL
- NPI 1396351433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1396409496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 VULCAN RD STE 332",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094701",
"telephone_number": "205-972-8264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 VULCAN RD STE 332",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094701",
"telephone_number": "205-972-8264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM SOURCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-25",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "LOFTIS",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "BROOK",
"authorized_official_title_or_position": "PREVENTION NAVIGATOR",
"authorized_official_telephone_number": "205-972-8264",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC, NCC, CPS"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA DEPARTMENT OF MENTAL HEALTH",
"identifier": "7516",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Addiction Prevention Coalition",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Addiction Prevention Coalition",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 29, 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.