Robbie Treadwell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3229 Issued in AL

Practice address

1242 US Highway 431 S
Abbeville, AL 36310-2058

Phone

(334) 585-6864

Fax

(334) 575-5216

NPI assigned

Apr 19, 2022

Last updated

Apr 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/spectracare/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectracare Health Systems, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dothan, AL
  • NPI 1215990734
  Medicare reassignment
• Spectracare Integrated Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dothan, AL
  • NPI 1205385176
  NPD

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1558004358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363021245",
            "telephone_number": "334-712-2720",
            "fax_number": "334-712-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 US HIGHWAY 431 S",
            "city": "ABBEVILLE",
            "state": "AL",
            "postal_code": "363102058",
            "telephone_number": "334-585-6864",
            "fax_number": "334-575-5216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Dothan Rd",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "AL",
            "postal_code": "363102836",
            "country_code": "US",
            "telephone_number": "334-585-5331",
            "fax_number": "334-575-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "ROBBIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LPC LICENSE",
            "identifier": "3229",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.spectracare.org",
            "affiliation": "N",
            "address_1": "1242 US Highway 431 S",
            "city": "Abbeville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363102058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southeast Alabama Rural Health Associates (Abbeville Family Health Center)
• Southern Eye Care Inc
• State of Alabama
• State of Alabama Department of Public Health (Henry County Health Dept Flu-Pneu)
• Suprema Services, LLC.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2186)
• Walgreen Co (Walgreens #17041)
• Whatley Family Dentistry
• Justin Wade Whatley, D.M.D.
• Barbara White, MPT

• Professional Counselor in Abbeville, AL
• Providers in Abbeville, 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 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.