Without Walls Counseling, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WITHOUT WALLS COUNSELING, PC

Practice address

2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1302

Phone

(205) 414-7426

Fax

(877) 308-8259

NPI assigned

Apr 26, 2017

Organization subpart

No

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

Authorized official

Name

Thandi Kenyetta Wells, ED.S, LPC

Title

Therapist/ Authorized Agent

Phone

(205) 919-3974

Specialties & licenses 7

Addresses

Other identifiers 1

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1508391632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY STE 650",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091302",
            "telephone_number": "205-414-7426",
            "fax_number": "877-308-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY STE 650",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091302",
            "telephone_number": "205-414-7426",
            "fax_number": "877-308-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHOUT WALLS COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "THANDI",
        "authorized_official_middle_name": "KENYETTA",
        "authorized_official_title_or_position": "THERAPIST/ AUTHORIZED AGENT",
        "authorized_official_telephone_number": "205-919-3974",
        "authorized_official_credential": "ED.S, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13980211",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Clarke Witcher
• Xzavier Jashawn Withers
• Clark Douglas Witherspoon, M.D.
• Debrita Trenice Witherspoon
• Without Walls Counseling, PC
• Katherine Withrow, PHARMD
• Kirk Withrow
• Lisa Ann Withrow, MD
• Joshua Robert Witkop, MD
• Witt Chiropractic,LLC

• Professional Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.