Gary Douglas Counselman, MA,CT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

129 Clark St
Grove Hill, AL 36451-3050

Phone

(251) 275-4165

Fax

(251) 275-4807

NPI assigned

May 12, 2010

Last updated

May 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 Arts

Practice roles

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.

• Southwest Alabama Behavioral Health Care Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroeville, AL
  • NPI 1881628162
  NPD (past)
• Southwest Alabama Mental Health/Mental Retardation Inc.

  • Community/Behavioral Health Agency
  • Grove Hill, AL
  • NPI 1104014554
  NPD (past)

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1508184730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CLARK ST",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364513050",
            "telephone_number": "251-275-4165",
            "fax_number": "251-275-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CLARK ST",
            "city": "GROVE HILL",
            "state": "AL",
            "postal_code": "364513050",
            "telephone_number": "251-275-4165",
            "fax_number": "251-275-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNSELMAN",
        "first_name": "GARY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MA,CT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarke County Health Dept Prev Health Ed
• Clarke County Health Dept Pri Care
• Clarke County Health Dept STD
• Clarke County Health Dept VFC Immun
• Clarke County Healthcare Authority (Grove Hill Memorial Hospital Anesthesia)
• Shannon Courington
• Stacie Brooke Davis, PHARMD
• Heley Alise Dickey, MSW
• Doctor's Office, LLC
• Javara Quensha Foster

• Mental Health Counselor in Grove Hill, AL
• Providers in Grove Hill, 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 May 12, 2010; 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.