Active NPI
Larry Lee Nalls, LPC
- Professional Counselor
- Selma, AL
National Provider Identifier
1669790986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2368
- Practice address
- 2990 Earl Goodwin Pkwy
Selma, AL 36703-2860 - Phone
- (334) 418-6527
- Fax
- (334) 875-3145
- NPI assigned
- May 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2368 | AL | Primary |
Addresses
Primary practice location
2990 Earl Goodwin Pkwy
Selma, AL 36703-2860
Mailing address
2990 Earl Goodwin Pkwy
Selma, AL 36703-2860
Phone (334) 418-6527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330000021 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2368 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1669790986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2990 EARL GOODWIN PKWY",
"city": "SELMA",
"state": "AL",
"postal_code": "367032860",
"telephone_number": "334-418-6527",
"fax_number": "334-875-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 EARL GOODWIN PKWY",
"city": "SELMA",
"state": "AL",
"postal_code": "367032860",
"telephone_number": "334-418-6527",
"fax_number": "334-875-3145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALLS",
"first_name": "LARRY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330000021",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.