Timothy D Deloach, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2224 Issued in AL

Practice address

22765 US Highway 98
Fairhope, AL 36532-3499

Phone

(251) 473-3410

Fax

(251) 476-4454

NPI assigned

May 7, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collins Counseling and Associates, P.C.Group PAC ID 8325437858, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Collins Counseling & Associates, P.C.

  • Professional Counselor
  • Mobile, AL
  • NPI 1043689284

  Mental Health

  Medicare reassignment Care Compare group NPD
• Moore Institute, Inc

  • Clinical Social Worker
  • Birmingham, AL
  • NPI 1699892323
  NPD (past)

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1689019366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 SLEDGE DR STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063000",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22765 US HIGHWAY 98",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323499",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Sledge Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366063000",
            "country_code": "US",
            "telephone_number": "251-473-3410",
            "fax_number": "251-476-4454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC02224",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta M Dean, RN
• Mollie Wallace Dean, CRNP
• Brian David Dearing, MD
• Daniel Carvel Deese, DMD
• Fulton G Defour, MD
• Delta Behavioral Health, LLC
• Jason Robert Determann, MD
• Gustavo Adolfo Diaz, M.D.
• Shari W Dichiara, PT
• Emily Marie Dickman, M.S.

• Professional Counselor in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.