Individual provider Active NPI

Emily Pritchett, LICSW

  • Mental Health Counselor
  • Enterprise, AL
National Provider Identifier
1689347676
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4740C Issued in AL
Practice address
26438 Highway 134 Ste B
Enterprise, AL 36330-6544
Phone
(844) 472-6282
Fax
(855) 626-0476
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4740C AL Primary

Addresses

Primary practice location

26438 Highway 134 Ste B
Enterprise, AL 36330-6544

Mailing address

26438 Highway 134 Ste B
Enterprise, AL 36330-6544
Phone (844) 472-6282

Other identifiers 1

IdentifierTypeStateIssuer
4740COtherALLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.samata-wellness.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220606002290 AL Practitioner - Clinical Social Worker 3779961693 Practice locations: Daleville, AL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

807 Donnell Blvd
Suite N
Daleville, AL 36322-2111
Phone (833) 927-7167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4740CALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samata Behavioral Health and Wellness Institute, LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

26438 Highway 134
#B
Enterprise, AL 36330
Phone (334) 475-3729

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1689347676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26438 HIGHWAY 134 STE B",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363306544",
            "telephone_number": "844-472-6282",
            "fax_number": "855-626-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26438 HIGHWAY 134 STE B",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363306544",
            "telephone_number": "844-472-6282",
            "fax_number": "855-626-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "EMILY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4740C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4740C",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.samata-wellness.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Admin",
            "address_1": "26438 Highway 134 Ste B",
            "city": "Enterprise",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363306544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.