Individual provider Active NPI

Rachel Suzanne Glass, ALC

  • Professional Counselor
  • Fairhope, AL
National Provider Identifier
1649008152
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
ALC03789 Issued in AL
Practice address
22765 US Highway 98
Fairhope, AL 36532-3499
Phone
(251) 473-3410
Fax
(251) 476-4454
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X ALC03789 AL Primary

Addresses

Primary practice location

22765 US Highway 98
Fairhope, AL 36532-3499

Mailing address

1340 Sledge Dr Ste B
Mobile, AL 36606-3000
Phone (251) 473-3410

Other practice location 1

1340 Sledge Dr Ste B
Mobile, AL 36606-3000
Phone (251) 473-3410

Other names 1

  • Rachel Suzanne Brown Former name

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
I20250908000984 AL Practitioner - Mental Health Counselor 8224530365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1340 Sledge Dr
Mobile, AL 36606-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ALC03789ALMDProfessional Counselor
5408ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Counseling & Associates, P.C. Professional CurrentSince Jul 28, 2025 Accepting new patients

Locations

20252 State Highway 181
Ste C
Fairhope, AL 36532
Phone (251) 473-3410

22765 US Highway 98
Fairhope, AL 36532
Phone (251) 473-3410

1340 Sledge Dr
Mobile, AL 36606
Phone (251) 342-0004

1340 Sledge Dr
Ste B
Mobile, AL 36606
Phone (251) 473-3410

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1649008152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 SLEDGE DR STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063000",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22765 US HIGHWAY 98",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323499",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Sledge Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366063000",
            "country_code": "US",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "RACHEL",
        "middle_name": "SUZANNE",
        "credential": "ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "ALC03789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BROWN",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.