Individual provider Active NPI

Mark Banaszek, LPC

  • Professional Counselor
  • Hoover, AL
National Provider Identifier
1720621816
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1957 Hoover CT Ste 307C
Hoover, AL 35226-3622
Phone
(205) 644-1166
Fax
(205) 490-2303
NPI assigned
Oct 22, 2019
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 Primary

Addresses

Primary practice location

1957 Hoover CT Ste 307C
Hoover, AL 35226-3622

Mailing address

9064 Helena Rd
Pelham, AL 35124-2737
Phone (205) 566-3241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: No
  • 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
I20240209002938 AL Practitioner - Mental Health Counselor 3274976808 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Services, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1957 Hoover Ct
Ste 307C
Hoover, AL 35226
Phone (205) 644-1166

9064 Helena Rd
Pelham, AL 35124
Phone (205) 644-1166

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1720621816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9064 HELENA RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242737",
            "telephone_number": "205-566-3241",
            "fax_number": "205-490-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 HOOVER CT STE 307C",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352263622",
            "telephone_number": "205-644-1166",
            "fax_number": "205-490-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANASZEK",
        "first_name": "MARK",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.