Active NPI
Chavis Counseling Services, LLC
- Professional Counselor
- Montgomery, AL
National Provider Identifier
1548816804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- CHAVIS COUNSELING SERVICES, LLC
- Practice address
- 600 Interstate Park Dr Ste 609
Montgomery, AL 36109-5474 - Phone
- (334) 549-6967
- Fax
- (334) 676-3521
- NPI assigned
- Aug 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Chavis, LPC
- Title
- Owner
- Phone
- (334) 549-6967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
600 Interstate Park Dr Ste 609
Montgomery, AL 36109-5474
Mailing address
600 Interstate Park Dr Ste 609
Montgomery, AL 36109-5474
Phone (334) 549-6967
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565654400000",
"number": "1548816804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 INTERSTATE PARK DR STE 609",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361095474",
"telephone_number": "334-549-6967",
"fax_number": "334-676-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 INTERSTATE PARK DR STE 609",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361095474",
"telephone_number": "334-549-6967",
"fax_number": "334-676-3521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAVIS COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A",
"authorized_official_last_name": "CHAVIS",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-549-6967",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.