Individual provider Active NPI

Deborah Carmichael, LPC

  • Professional Counselor
  • Mobile, AL
National Provider Identifier
1740496801
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2516 Issued in AL
Practice address
5905 Airport Blvd Ste D
Mobile, AL 36608-3160
Phone
(251) 343-2597
Fax
(251) 342-0122
NPI assigned
May 15, 2007
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C1171A AL
Professional Counselor 101YP2500X 2516 AL Primary

Addresses

Primary practice location

5905 Airport Blvd Ste D
Mobile, AL 36608-3160

Mailing address

5905 Airport Blvd Ste D
Mobile, AL 36608-3160
Phone (251) 343-2597

Other identifiers 1

IdentifierTypeStateIssuer
511-62259OtherALBCBS

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
I20240319002384 AL Practitioner - Mental Health Counselor 8022455674 Practice locations: Mobile, AL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5905 Airport Blvd
Suite D
Mobile, AL 36608-3160
Phone (251) 343-2597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1171AALMDCounselor
2516ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Terri Mudge, LPC, Inc. Past Accepting new patients
Welcome Life Counseling, LLC Professional PastSince Nov 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1740496801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 AIRPORT BLVD STE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083160",
            "telephone_number": "251-343-2597",
            "fax_number": "251-342-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 AIRPORT BLVD STE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083160",
            "telephone_number": "251-343-2597",
            "fax_number": "251-342-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMICHAEL",
        "first_name": "DEBORAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "C1171A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-62259",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.