Organization Active NPI

Weiss Lake Counseling Services

  • Mental Health Counselor
  • Centre, AL
National Provider Identifier
1679293476
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WEISS LAKE COUNSELING SERVICES
Practice address
839 W Main St
Centre, AL 35960-1235
Phone
(256) 927-5920
Fax
(256) 927-3205
NPI assigned
Aug 31, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Mr. Emmanuel L. Rock, MS, ALC, NCC
Title
Mental Health Counselor
Phone
(256) 927-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

839 W Main St
Centre, AL 35960-1235

Mailing address

839 W Main St
Centre, AL 35960-1235
Phone (256) 927-5920

National Provider Directory

National Provider Directory

Locations

839 W Main St
Centre, AL 35960
Phone (256) 927-5029

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1679293476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W MAIN ST",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601235",
            "telephone_number": "256-927-5920",
            "fax_number": "256-927-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 W MAIN ST",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601235",
            "telephone_number": "256-927-5920",
            "fax_number": "256-927-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS LAKE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "256-927-5920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, ALC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.