Individual provider Active NPI

Emily Sanderson, M.ED, ALC, NCC

  • Mental Health Counselor
  • Birmingham, AL
National Provider Identifier
1508308149
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2422A Issued in AL
Practice address
2681 Rocky Ridge LN
Birmingham, AL 35216-4809
Phone
(205) 945-0037
NPI assigned
Nov 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2422A AL Primary

Addresses

Primary practice location

2681 Rocky Ridge LN
Birmingham, AL 35216-4809

Mailing address

2681 Rocky Ridge LN
Birmingham, AL 35216-4809
Phone (205) 945-0037

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
C2422AALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Sanderson Counseling Current Accepting new patients
Alabama Baptist Children'S Homes Dba Pathways Professional Counseling Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1508308149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 ROCKY RIDGE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164809",
            "telephone_number": "205-945-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 ROCKY RIDGE LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164809",
            "telephone_number": "205-945-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "EMILY",
        "credential": "M.ED, ALC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C2422A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.