Conscious Living Counseling Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CONSCIOUS LIVING COUNSELING SERVICES LLC

Practice address

1302 Noble St Ste 2H
Anniston, AL 36201-4677

Phone

(256) 402-1406

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roberta Fontaine, LICSWNPI 1861701815

Title

Owner

Phone

(256) 221-1137

Specialties & licenses 1

Addresses

Electronic endpoints 3

Locations

Practitioners 1

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.

• Roberta A. Fontaine, LICSW

  • Clinical Social Worker
  • Anniston, AL
  • NPI 1861701815
  Authorized official Same address or phone

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1699371468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362021132",
            "telephone_number": "256-403-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 NOBLE ST STE 2H",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014677",
            "telephone_number": "256-402-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS LIVING COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-221-1137",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Anniston",
            "affiliation": "N",
            "address_1": "1302 Noble St Ste 2H",
            "city": "Anniston",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362014677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Anniston",
            "affiliation": "N",
            "address_1": "1302 Noble St Ste 2H",
            "city": "Anniston",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362014677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Anniston",
            "affiliation": "N",
            "address_1": "1302 Noble St Ste 2H",
            "city": "Anniston",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362014677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yusef Lateef Conaway, LPC
• Kenneth Elisha Conn, CRNP
• Karen Lewis Connell, D.M.D
• Roxana Conroy, LPC
• Robert Martin Conry, MD
• Jason Wave Cook, O.D.
• Nelson W Cook, M.D.
• Coosa River Emergency Physicians, PLLC
• Coosa Valley Youth Services, Inc
• Heather Copland, M.S. CCC-SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Anniston, AL
• Providers in Anniston, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.