Organization Active NPI

Counseling Ministry Professionals, Inc

  • Psychiatry Physician
  • Northport, AL
National Provider Identifier
1437405305
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4511 Issued in AL
Legal business name
COUNSELING MINISTRY PROFESSIONALS, INC
Practice address
519 Energy Center Blvd
Suite 1103
Northport, AL 35473-5820
Phone
(205) 345-5885
Fax
(205) 345-5884
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Anne Elizabeth Trammell
Title
Office Manager
Phone
(205) 345-5885

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 48 AL
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X L430 AL
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 4511 AL Primary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X 4511 AK
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X 4511 AL

Addresses

Primary practice location

519 Energy Center Blvd
Suite 1103
Northport, AL 35473-5820

Mailing address

519 Energy Center Blvd
Suite 1103
Northport, AL 35473-5820
Phone (205) 345-5885

Other identifiers 1

IdentifierTypeStateIssuer
082997OtherALBCBS OF ALABAMA UPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160623001670 AL Part B Supplier - Clinic/Group Practice 8729379607 Receives reassigned benefits from 1 practitioner
Practice locations: Northport, AL

National Provider Directory

National Provider Directory

Locations

519 Energy Center Blvd
Ste 1103
Northport, AL 35473
Phone (205) 345-5885

Practitioners & affiliated clinicians

Practitioners 2

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": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1437405305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 ENERGY CENTER BLVD",
            "address_2": "SUITE 1103",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735820",
            "telephone_number": "205-345-5885",
            "fax_number": "205-345-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ENERGY CENTER BLVD",
            "address_2": "SUITE 1103",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735820",
            "telephone_number": "205-345-5885",
            "fax_number": "205-345-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING MINISTRY PROFESSIONALS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "TRAMMELL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-345-5885"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "48",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "L430",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "4511",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AK",
            "license": "4511",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AL",
            "license": "4511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA UPIN",
            "identifier": "082997",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.