Individual provider Active NPI

Patricia Gail Lovelace, LPCS, ASDC, NCC

  • Counselor
  • Lexington, AL
National Provider Identifier
1568428894
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
11631 Highway 101
Lexington, AL 35648-3249
Phone
(256) 229-6262
Fax
(256) 229-6272
NPI assigned
Apr 25, 2006
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2860 AL
Counselor 101Y00000X Primary

Addresses

Primary practice location

11631 Highway 101
Lexington, AL 35648-3249

Mailing address

309 Simonaki Way
Killen, AL 35645-8279
Phone (256) 710-4640

Other identifiers 1

IdentifierTypeStateIssuer
515-21916OtherALBCBS OF AL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240605003674 AL Practitioner - Mental Health Counselor 3779917331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Harbor of the Shoals, IncGroup PAC ID 7517298961, 4 clinicians

Practice addresses (Care Compare)

1404 E Avalon Ave
Suite C
Tuscumbia, AL 35674-1771
Phone (256) 381-5507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2860ALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor of the Shoals, Inc Counselor CurrentSince Mar 30, 2024 Accepting new patients

Locations

11631 Highway 101
Lexington, AL 35648
Phone (256) 229-6262

1404 E Avalon Ave
Ste C
Tuscumbia, AL 35674
Phone (256) 314-1204

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1568428894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SIMONAKI WAY",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356458279",
            "telephone_number": "256-710-4640",
            "fax_number": "256-229-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11631 HIGHWAY 101",
            "city": "LEXINGTON",
            "state": "AL",
            "postal_code": "356483249",
            "telephone_number": "256-229-6262",
            "fax_number": "256-229-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELACE",
        "first_name": "PATRICIA",
        "middle_name": "GAIL",
        "credential": "LPCS, ASDC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "2860",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "515-21916",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, AL

Sources for this page

Verify at the official NPI Registry.