Organization Active NPI

Freedom Source Inc

  • Prevention Professional
  • Birmingham, AL
National Provider Identifier
1396409496
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
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

Updated by the provider on May 29, 2024

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, CPSNPI 1396351433
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)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7516OtherALALABAMA DEPARTMENT OF MENTAL HEALTH

Other names 1

  • Addiction Prevention Coalition Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.