Alfred Donnell Couch Sr., LADAC II, NCACI, ADS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

L000000033783 Issued in TN

Practice address

St. Francis Med BLDG,Loewenberg BLDG, Ste 406 6005 Park
Memphis, TN 38119

Phone

(901) 566-9020

Fax

(901) 366-4260

NPI assigned

Jul 6, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Donnie Couch Counseling and Consulting

  • Community/Behavioral Health Agency
  • Memphis, TN
  • NPI 1811240559
  NPD (past) Authorized official

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

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1417398447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 406",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195214",
            "telephone_number": "901-428-4287",
            "fax_number": "901-366-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. FRANCIS MED BLDG,LOEWENBERG BLDG, STE 406 6005 PARK",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-566-9020",
            "fax_number": "901-366-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "ALFRED",
        "middle_name": "DONNELL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LADAC II, NCACI, ADS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "LDC0000000201",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "L000000033783",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "L000000033783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Cottage Home Care TN LLC
• Alyssa Cotton
• Bianca Cotton
• Charlotte Larissa Couch, PA
• Robin Coughlin, LPC-MHSP, CRC
• Shane W. Coughlin, MD
• Whitney Ann Coulombe, LCSW
• Cortney Counce, PA-C

• Addiction (Substance Use Disorder) Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.