Courtney M Barlow

Individual provider Active NPI Professional Counselor · Daphne, AL

NPI 1497584403 · NPPES record last updated Oct 28, 2024

Key facts

NPI
1497584403
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
ALC04951 (AL)
Practice address
28851 N Main St Ste B
Daphne, AL 36526-7273
Phone
(251) 615-1233
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ALC04951ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Davine Counseling Center, LLC Current
since Aug 4, 2024
Accepting new patients

Locations

28851 N Main St
Ste B
Daphne, AL 36526
Phone (251) 615-1233

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X ALC04951 AL Yes

Addresses

Primary practice location

28851 N Main St Ste B
Daphne, AL 36526-7273

Mailing address

28851 N Main St Ste B
Daphne, AL 36526-7273
Phone (251) 615-1233

Other names

  • Courtney Danielle Martin Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 28, 2024.

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1497584403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28851 N MAIN ST STE B",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267273",
            "telephone_number": "251-615-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28851 N MAIN ST STE B",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267273",
            "telephone_number": "251-615-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "ALC04951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MARTIN",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daphne, AL

All providers in Daphne, AL · Professional Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.