Megyn Avedisian, MS, ALC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ALC04417 Issued in AL

Practice address

1736 Oxmoor Rd Ste 208
Homewood, AL 35209-4053

Phone

(205) 538-3978

NPI assigned

Aug 15, 2023

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1467235374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3578 SOUTHERN TRL",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681921",
            "telephone_number": "205-218-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 OXMOOR RD STE 208",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094053",
            "telephone_number": "205-538-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVEDISIAN",
        "first_name": "MEGYN",
        "credential": "MS, ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC04417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ashbaker
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• Axia Behavioral Group, LLC
• Sarah Smith Bagwell, MD
• Michelle Bajjalieh, DMD
• Blake Hilton Baker, PHARMD
• Stanley J Bara III, D.C.

• Mental Health Counselor in Homewood, AL
• Providers in Homewood, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.