Organization Active NPI

Ivy Leaf Counseling Services

  • Community/Behavioral Health Agency
  • Mobile, AL
National Provider Identifier
1538635768
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IVY LEAF COUNSELING SERVICES
Doing business as
Lisa B. Williams, LPC
Practice address
578 Azalea Rd Ste 112
Mobile, AL 36609-1551
Phone
(251) 300-8930
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Mrs. Lisa Beth Williams, MSNPI 1598277394
Title
Licensed Professional Counselor
Phone
(229) 506-3136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

578 Azalea Rd Ste 112
Mobile, AL 36609-1551

Mailing address

10921 Heritage Cir N
Mobile, AL 36608-8015
Phone (229) 506-3136

Other names 1

  • Lisa B. Williams, LPC Doing business as

National Provider Directory

National Provider Directory

Locations

578 Azalea Rd
Ste 112
Mobile, AL 36609
Phone (251) 300-8930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1538635768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 HERITAGE CIR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366088015",
            "telephone_number": "229-506-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 AZALEA RD STE 112",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091551",
            "telephone_number": "251-300-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY LEAF COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "229-506-3136",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa B. Williams, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.