Active NPI
Grady Mitchell Vann, LPC LICENSED PROFESS
- Counselor
- Hoover, AL
National Provider Identifier
1679762991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2363
- Practice address
- 2109 Darlington St
Hoover, AL 35226 - Phone
- (205) 260-5138
- Fax
- (205) 533-8896
- NPI assigned
- Oct 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2363 | AL | Primary |
| Mental Health Counselor | 101YM0800X | 2363 | AL | |
| Professional Counselor | 101YP2500X | 2363 | AL |
Addresses
Primary practice location
2109 Darlington St
Hoover, AL 35226
Mailing address
PO Box 3441
Hueytown, AL 35023-0441
Phone (205) 260-5138
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 |
|---|---|---|---|
| 2363 | AL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1679762991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3441",
"city": "HUEYTOWN",
"state": "AL",
"postal_code": "350230441",
"telephone_number": "205-260-5138",
"fax_number": "205-533-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 DARLINGTON ST",
"city": "HOOVER",
"state": "AL",
"postal_code": "35226",
"telephone_number": "205-260-5138",
"fax_number": "205-533-8896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANN",
"first_name": "GRADY",
"middle_name": "MITCHELL",
"name_prefix": "Mr.",
"credential": "LPC LICENSED PROFESS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "2363",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "2363",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2363",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.