Alicia Monique Sullivan-Smith, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18234 Issued in FL

Practice address

50 Nance Rd
Madison, AL 35758-9507

Phone

(251) 648-1445

NPI assigned

Nov 7, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Evolve & Thrive Counseling, LLC

  • Mental Health Counselor
  • Huntsville, AL
  • NPI 1083562623
  NPD Authorized official

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1659089985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MADELYN DR",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591534",
            "telephone_number": "251-648-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NANCE RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589507",
            "telephone_number": "251-648-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-SMITH",
        "first_name": "ALICIA",
        "middle_name": "MONIQUE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sulliam0507",
            "affiliation": "N",
            "endpointDescription": "direct",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "128 Madelyn Dr",
            "city": "Meridianville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357591534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Strother, CFN
• William Ray Stroud III, MD
• Sullins Eye Care Center, Inc.
• Steve Luttrell Sullins, O.D.
• Sullivan Medical, LLC
• Rachel Renay Sullivan
• Veronica Harkness Sullivan, PMHNP-BC, DNP
• Drew Matthew Sumrall, DDS
• Kresta Lee Sunderman, CRNP
• Heather Lynn Surber, LCSW

• Mental Health Counselor in Madison, AL
• Providers in Madison, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.