NPIMap

Organization Active NPI

Counseling Services of Dothan

Doing business as Jeffery C. Justice, Counseling Serivces of Dothan

  • Professional Counselor
  • Dothan, AL
National Provider Identifier
1740553643
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
786 Issued in AL
Legal business name
COUNSELING SERVICES OF DOTHAN
Doing business as
Jeffery C. Justice, Counseling Serivces of Dothan
Practice address
1450 Ross Clark Cir
Suite 3
Dothan, AL 36301-4765
Phone
(334) 794-2113
Fax
(334) 702-1220
NPI assigned
Feb 23, 2012
Last updated
Feb 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Mr. Jeffery Charles Justice, LPCNPI 1891704920
Title
President
Phone
(334) 794-2113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 786 AL Primary

Addresses

Primary practice location

1450 Ross Clark Cir
Suite 3
Dothan, AL 36301-4765

Mailing address

1450 Ross Clark Cir
Suite 3
Dothan, AL 36301-4765
Phone (334) 794-2113

Other names 1

  • Jeffery C. Justice, Counseling Serivces of Dothan Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1740553643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ROSS CLARK CIR",
            "address_2": "SUITE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014765",
            "telephone_number": "334-794-2113",
            "fax_number": "334-702-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROSS CLARK CIR",
            "address_2": "SUITE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014765",
            "telephone_number": "334-794-2113",
            "fax_number": "334-702-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF DOTHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-794-2113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffery C. Justice, Counseling Serivces of Dothan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.