Organization Active NPI

The Refinery Counseling & Consulting Services

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1649710997
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3674C Issued in AL
Legal business name
THE REFINERY COUNSELING & CONSULTING SERVICES
Practice address
201 Beacon Pkwy W
Ste 110
Birmingham, AL 35209-3139
Phone
(205) 777-1716
Fax
(205) 449-6450
NPI assigned
Mar 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Tamara Boncia Blackedge Burr, LCSW
Title
Owner/Therapist
Phone
(205) 777-1716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3674C AL Primary

Addresses

Primary practice location

201 Beacon Pkwy W
Ste 110
Birmingham, AL 35209-3139

Mailing address

201 Beacon Pkwy W
Ste 110
Birmingham, AL 35209-3139
Phone (205) 777-1716

National Provider Directory

National Provider Directory

Locations

201 Beacon Pkwy W
Ste 110
Birmingham, AL 35209
Phone (205) 500-1115

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1649710997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BEACON PKWY W",
            "address_2": "STE 110",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093139",
            "telephone_number": "205-777-1716",
            "fax_number": "205-449-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BEACON PKWY W",
            "address_2": "STE 110",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093139",
            "telephone_number": "205-777-1716",
            "fax_number": "205-449-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REFINERY COUNSELING & CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "BLACKEDGE BURR",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "BONCIA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "205-777-1716",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3674C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.