Cosby & Cosby Counseling & Consultation LLC
Organization Active NPI Clinical Psychologist · Andalusia, AL
NPI 1679807291 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1679807291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 591 (AL)
- Legal business name
- COSBY & COSBY COUNSELING & CONSULTATION LLC
- Practice address
- 109 Medical Park Dr Ste C
Andalusia, AL 36420-5364 - Phone
- (334) 222-1818
- Fax
- (334) 222-1919
- NPI assigned
- Sep 29, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Emma Stacy Cosby, LCSW, PIP
- Title
- Owner
- Phone
- (334) 892-3252
Practitioners 13
-
Jennifer Butts, LICSW
-
Emma Stacy Cosby, LCSW, PIP
-
Rachel Johnson, MSW
-
Carrie Lou Mitchell, LICSW
-
Beverly A Taylor, LCSW
-
Mavis B Thomas, LPC
-
Chelsea Irena Roberts, LCSW
-
Amy Coates Davis, ALC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140707000476 | AL | Part B Supplier - Clinic/Group Practice | 4284859323 |
Receives reassigned benefits from 8 practitioners Practice locations: Andalusia, AL; Brewton, AL; Luverne, AL; Troy, AL |
National Provider Directory
Locations
20932 County Road 70
Andalusia, AL 36421
Phone (334) 224-7878
858 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-1818
1205 Belleville Ave
Brewton, AL 36426
Phone (251) 867-3606
722 Douglas Ave
Brewton, AL 36426
Phone (251) 867-6232
8 S Glenwood Ave
Luverne, AL 36049
Phone (334) 222-1818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 591 | AL | Yes |
| Clinical Social Worker |
1041C0700X | 1384C | AL | |
| Clinical Social Worker |
1041C0700X |
Addresses
Primary practice location
109 Medical Park Dr Ste C
Andalusia, AL 36420-5364
Mailing address
109 Medical Park Dr
Andalusia, AL 36420-5351
Phone (334) 222-1811
Other practice location 1
858 S Three Notch St
Andalusia, AL 36420-5320
Phone (334) 222-1818
Other practice location 2
722 Douglas Ave
Brewton, AL 36426-1708
Phone (334) 222-1818
Other practice location 3
1300 Highway 231 S
Troy, AL 36081-3058
Phone (334) 222-1818
Other practice location 4
8 S Glenwood Ave
Luverne, AL 36049-2148
Phone (334) 222-1818
Other names
- Southern Counseling Group
Other providers in Andalusia, AL
- Community Hospital of Andalusia LLC
- Community Hospital of Andalusia LLC
- Community Hospital of Andalusia, Inc
- Community Hospital of Andalusia, Inc
- Carmen B Cooper
- Emma Stacy Cosby
- Countryside Hospice Care Inc
- Covington Bone & Joint PC
- Covington County
- Covington County Health Dept Offsite Epsdt
All providers in Andalusia, AL · Clinical Psychologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.