NPIMap

Organization Active NPI

Cahaba Marriage and Family Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Birmingham, AL
National Provider Identifier
1700599677
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CAHABA MARRIAGE AND FAMILY COUNSELING, LLC
Practice address
1401 Providence Park Ste 250
Birmingham, AL 35242-4694
Phone
(205) 623-4863
Fax
(205) 449-9844
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Ellery Cook Berryhill, LPC, LMFTNPI 1790003945
Title
Partner/Co-Owner
Phone
(205) 623-4863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1401 Providence Park Ste 250
Birmingham, AL 35242-4694

Mailing address

1401 Providence Park Ste 250
Birmingham, AL 35242-4694
Phone (205) 623-4863

Other identifiers 3

IdentifierTypeStateIssuer
SB510OtherALBLUE CROSS/BLUE SHIELD OF ALABAMA
63103OtherALAMERICAN BEHAVIORAL
NDX99OtherALNEW DIRECTIONS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.therapynotes.com/cahabamarriage35242 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1700599677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PROVIDENCE PARK STE 250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424694",
            "telephone_number": "205-623-4863",
            "fax_number": "205-449-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PROVIDENCE PARK STE 250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424694",
            "telephone_number": "205-623-4863",
            "fax_number": "205-449-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAHABA MARRIAGE AND FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "BERRYHILL",
        "authorized_official_first_name": "ELLERY",
        "authorized_official_middle_name": "COOK",
        "authorized_official_title_or_position": "PARTNER/CO-OWNER",
        "authorized_official_telephone_number": "205-623-4863",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF ALABAMA",
            "identifier": "SB510",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BEHAVIORAL",
            "identifier": "63103",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW DIRECTIONS",
            "identifier": "NDX99",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.therapynotes.com/cahabamarriage35242",
            "affiliation": "N",
            "endpointDescription": "web based, secure EHR portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1401 Providence Park Ste 250",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352424694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.