Organization Active NPI

Emmaus Counseling Center LLC

  • Professional Counselor
  • Hoover, AL
National Provider Identifier
1740831122
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EMMAUS COUNSELING CENTER LLC
Practice address
5414 Colony Way
Hoover, AL 35226-5059
Phone
(205) 722-3009
NPI assigned
Sep 26, 2019
Last updated
Sep 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Dr. Asia Julia Gorg, PH.D., LPC,LMHC,NCCNPI 1588003388
Title
Licensed Professional Counselor
Phone
(205) 722-3009

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

5414 Colony Way
Hoover, AL 35226-5059

Mailing address

5414 Colony Way
Hoover, AL 35226-5059
Phone (205) 722-3009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260309002332 AL Part B Supplier - Clinic/Group Practice 1456834407 Receives reassigned benefits from 1 practitioner
Practice locations: Hoover, AL

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": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1740831122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 COLONY WAY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352265059",
            "telephone_number": "205-722-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 COLONY WAY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352265059",
            "telephone_number": "205-722-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMAUS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "GORG",
        "authorized_official_first_name": "ASIA",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "205-722-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC,LMHC,NCC"
    },
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.