Individual provider Active NPI

Lauren Harris Sirkis, MED, LPC, NCC

  • Professional Counselor
  • Dothan, AL
National Provider Identifier
1487133948
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4296 Issued in AL
Practice address
206 Executive Park Dr
Dothan, AL 36303-2148
Phone
(334) 797-0112
NPI assigned
Aug 7, 2018
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2978A AL
Professional Counselor 101YP2500X 4296 AL Primary

Addresses

Primary practice location

206 Executive Park Dr
Dothan, AL 36303-2148

Mailing address

206 Executive Park Dr
Dothan, AL 36303-2148
Phone (334) 797-0112

Other practice location 1

100 Century Park S Ste 102
Birmingham, AL 35226-3922
Phone (888) 386-9625 ext. 710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
C2978AALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sirkis Counseling Services LLC Professional Current Accepting new patients

Locations

206 Executive Park Dr
Dothan, AL 36303
Phone (334) 792-5124

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1487133948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 EXECUTIVE PARK DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032148",
            "telephone_number": "334-797-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 EXECUTIVE PARK DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032148",
            "telephone_number": "334-797-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Century Park S Ste 102",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352263922",
            "country_code": "US",
            "telephone_number": "888-386-9625 x710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIRKIS",
        "first_name": "LAUREN",
        "middle_name": "HARRIS",
        "credential": "MED, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C2978A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.