Active NPI
Counseling Ministry Professionals, Inc
- Psychiatry Physician
- Northport, AL
National Provider Identifier
1437405305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4511
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 48 | AL | |
| Professional Counselor | 101YP2500X | L430 | AL | |
| Psychiatry Physician | 2084P0800X | 4511 | AL | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4511 | AK | |
| Child & Adolescent Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082997 | Other | AL | BCBS OF ALABAMA UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Northport, AL
- NPI 1285092296
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.