Organization Active NPI

Magic City Counseling, LLC

Doing business as Magic City Counseling

  • Mental Health Counselor
  • Vestavia, AL
National Provider Identifier
1568928646
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAGIC CITY COUNSELING, LLC
Doing business as
Magic City Counseling
Practice address
500 Southland Dr Ste 109
Vestavia, AL 35226-3737
Phone
(205) 276-7279
NPI assigned
Feb 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Mrs. Chernell Diane Bizzell, LPCNPI 1063985562
Title
Mental Health Counselor
Phone
(205) 276-7279

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

500 Southland Dr Ste 109
Vestavia, AL 35226-3737

Mailing address

5015 Shannon Dr
Adamsville, AL 35005-1452
Phone (205) 276-7279

Other names 1

  • Magic City Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

500 Southland Dr
Ste 109
Vestavia, AL 35226
Phone (205) 276-7279

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": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1568928646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 SHANNON DR",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "350051452",
            "telephone_number": "205-276-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTHLAND DR STE 109",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352263737",
            "telephone_number": "205-276-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC CITY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "BIZZELL",
        "authorized_official_first_name": "CHERNELL",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "205-276-7279",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magic City Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.