Alabama Foundation of Therapeutic Services, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3834 Issued in AL

Legal business name

ALABAMA FOUNDATION OF THERAPEUTIC SERVICES, INC

Practice address

100 Century Park S Ste 102
Birmingham, AL 35226

Phone

(205) 656-6554

NPI assigned

Feb 8, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Dewayne Richardson, LPC

Title

Chief Executive Director

Phone

(205) 200-5351

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• AFTS, INC Other name

Locations

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535241600000",
    "number": "1518466176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTURY PARK S STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263922",
            "telephone_number": "205-200-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTURY PARK S STE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35226",
            "telephone_number": "205-656-6554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4204 Edmonton Dr",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350224878",
            "country_code": "US",
            "telephone_number": "205-425-1200 x4353",
            "fax_number": "205-425-9606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALABAMA FOUNDATION OF THERAPEUTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-08-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-200-5351",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3834",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AL",
            "license": "3834",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AL",
            "license": "3834",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AL",
            "license": "3834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216705",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFTS, INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AFTS, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Aug 26, 2018; 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.