Individual provider Active NPI

Javae Parham, LPC

  • Professional Counselor
  • Huntsville, AL
National Provider Identifier
1700406667
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC05299 Issued in AL
Practice address
936 Jeff Rd NW
Huntsville, AL 35806-1238
Phone
(256) 837-2127
NPI assigned
Apr 21, 2020
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC05299 AL Primary

Addresses

Primary practice location

936 Jeff Rd NW
Huntsville, AL 35806-1238

Mailing address

936 Jeff Rd NW
Huntsville, AL 35806-1238
Phone (256) 837-2127

Other practice location 1

4040 Memorial Pkwy SW
Huntsville, AL 35802-4364
Phone (256) 533-1970

Other identifiers 1

IdentifierTypeStateIssuer
330000014MedicaidAL

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
I20240829003827 AL Practitioner - Mental Health Counselor 0143769489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Counseling Associates CurrentSince May 10, 2024 Accepting new patients

Locations

936 Jeff Rd NW
Huntsville, AL 35806
Phone (256) 837-2127

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1700406667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 JEFF RD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061238",
            "telephone_number": "256-837-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 JEFF RD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061238",
            "telephone_number": "256-837-2127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 Memorial Pkwy SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358024364",
            "country_code": "US",
            "telephone_number": "256-533-1970",
            "fax_number": "256-532-4112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "JAVAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000014",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.