Organization Active NPI

Pike Road Counseling, LLC

  • Community/Behavioral Health Agency
  • Pike Road, AL
National Provider Identifier
1437681814
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2329 Issued in AL
Legal business name
PIKE ROAD COUNSELING, LLC
Practice address
10519 Vaughn Rd
Pike Road, AL 36064-2700
Phone
(334) 603-1427
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Melinda LandrumNPI 1710420351
Title
Owner/Counselor
Phone
(334) 603-1427

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2329 AL Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

10519 Vaughn Rd
Pike Road, AL 36064-2700

Mailing address

10519 Vaughn Rd
Pike Road, AL 36064-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301000017 AL Part B Supplier - Clinic/Group Practice 3476998329 Receives reassigned benefits from 6 practitioners
Practice locations: Pike Road, AL

National Provider Directory

National Provider Directory

Locations

10519 Vaughn Rd
Pike Road, AL 36064
Phone (334) 531-6088

9427 Vaughn Rd
Ste E
Pike Road, AL 36064

Practitioners & affiliated clinicians

Practitioners 8

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": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1437681814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10519 VAUGHN RD",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10519 VAUGHN RD",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642700",
            "telephone_number": "334-603-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE ROAD COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-02-23",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "334-603-1427"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "2329",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pike Road, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.