Active NPI
Myra Lynette Wilson, ALC
- Counselor
- Birmingham, AL
National Provider Identifier
1760957427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 404 15TH St N
Birmingham, AL 35203-1845 - Phone
- (205) 777-4022
- NPI assigned
- Oct 9, 2018
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | AL | Primary |
Addresses
Primary practice location
404 15TH St N
Birmingham, AL 35203-1845
Mailing address
752 41St St
Fairfield, AL 35064-2318
Phone (205) 213-9554
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L.Williams and Associates LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Birmingham, AL
- NPI 1417402447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1760957427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 41ST ST",
"city": "FAIRFIELD",
"state": "AL",
"postal_code": "350642318",
"telephone_number": "205-213-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 15TH ST N",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352031845",
"telephone_number": "205-777-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MYRA",
"middle_name": "LYNETTE",
"credential": "ALC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.