Fellowship House, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FELLOWSHIP HOUSE, INC.

Practice address

1625 12TH Ave S
Birmingham, AL 35205-4709

Phone

(205) 933-2430

Fax

(205) 933-2475

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jim Counts, SCAC, NCAC II

Title

Director of Programs

Phone

(205) 933-2430

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynelle Rudene Burton

  • Mental Health Counselor
  • Birmingham, AL
  • NPI 1801760848
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467590984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 12TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054709",
            "telephone_number": "205-933-2430",
            "fax_number": "205-933-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 12TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054709",
            "telephone_number": "205-933-2430",
            "fax_number": "205-933-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUNTS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "205-933-2430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SCAC, NCAC II"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline M Feldman, MD
• Michael Joseph Feldman, MD
• Ashlyn Marie Feldmann
• Charles F Felgner, M.D.
• Kim-Ngan P Fellman, MD
• Sheila Renae Fells, CRNP
• Elizabeth Hope Felsinger, RN
• April Marie Felton, ARNP
• Fennell Medical Services, LLC
• Ricky L Fennell, MD

• Substance Abuse Rehabilitation Facility in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Substance Abuse Rehabilitation Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.