Mary Emeline Dawson, ALC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

ALC04024 Issued in AL

Practice address

9064 Helena Rd
Pelham, AL 35124-2737

Phone

(205) 644-1166

NPI assigned

Mar 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Still Waters Counseling and Education CenterGroup PAC ID 3476087362, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Still Waters Counseling and Education Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain BRK, AL
  • NPI 1134954654
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1720782832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SKYLINE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352142927",
            "telephone_number": "225-315-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9064 HELENA RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242737",
            "telephone_number": "205-644-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "MARY",
        "middle_name": "EMELINE",
        "name_prefix": "Mrs.",
        "credential": "ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "ALC04024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elli Davis, MS, RDN, LD
• Keith Allen Davis
• Lawanda M. Davis, SLP
• Sonia Davis, M.S.,CCC/SLP
• Stacey Davis
• Jim Houston Day Jr., O.D.
• Whitney Talley Dean
• Laura Dennis
• Denton Dental of Pelham Dba Save-on
• Konstandena Sarris Desantis

• Counselor in Pelham, AL
• Providers in Pelham, AL by specialty
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.