Active NPI
Elizabeth Till Merrill, ALC
- Mental Health Counselor
- Bessemer, AL
National Provider Identifier
1760299929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ALC05133
- Practice address
- 1121 Greenwood Xing Ste 103
Bessemer, AL 35022-5687 - Phone
- (205) 463-1989
- NPI assigned
- Dec 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ALC05133 | AL | Primary |
Addresses
Primary practice location
1121 Greenwood Xing Ste 103
Bessemer, AL 35022-5687
Mailing address
112 Southview Ter
Hoover, AL 35244-6748
Phone (205) 864-2479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALC05133 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1760299929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 SOUTHVIEW TER",
"city": "HOOVER",
"state": "AL",
"postal_code": "352446748",
"telephone_number": "205-864-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 GREENWOOD XING STE 103",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350225687",
"telephone_number": "205-463-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "ELIZABETH",
"middle_name": "TILL",
"credential": "ALC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "ALC05133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bessemer, AL
- Medical West Hospital Authority, an Affiliate of Uab Health System
- Medical West Imaging Center, LLC
- Medicine Beyond Walls
- Medicine Beyond Walls, LLC
- Medicine Beyond Walls, LLC
- Sabrina Merritt
- Metro Podiatry & Sports Medicine
- Kristen Nicole Michael, D.O.
- Middle Creek Medical Center
- Millennium Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.