Active NPI
Latrice Shonta Dailey, MS, LPC
- Professional Counselor
- Birmingham, AL
National Provider Identifier
1770058737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC03928
- Practice address
- 2214 3Rd Ave N
Birmingham, AL 35203-3822 - Phone
- (205) 612-7091
- NPI assigned
- Oct 5, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC03928 | AL | Primary |
Addresses
Primary practice location
2214 3Rd Ave N
Birmingham, AL 35203-3822
Mailing address
2214 3Rd Ave N
Birmingham, AL 35203-3822
Other practice location 1
3918 Montclair Rd Ste 206
Mountain Brk, AL 35213-2418
Phone (205) 994-2798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC03928 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K & F Investments LLC | Current | Accepting new patients |
Locations
3918 Montclair Rd
Ste 206
Mountain Brk, AL 35213
Phone (205) 994-2798
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.
-
- Clinical Social Worker
- Birmingham, AL
- NPI 1629789359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1770058737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 3RD AVE N",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352033822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 3RD AVE N",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352033822",
"telephone_number": "205-612-7091"
}
],
"practiceLocations": [
{
"address_1": "3918 Montclair Rd Ste 206",
"address_purpose": "LOCATION",
"city": "Mountain Brk",
"state": "AL",
"postal_code": "352132418",
"country_code": "US",
"telephone_number": "205-994-2798",
"fax_number": "205-778-5304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAILEY",
"first_name": "LATRICE",
"middle_name": "SHONTA",
"name_prefix": "Ms.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-05",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC03928",
"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 Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.