Active NPI
Betty J Belisle, LPC
- Professional Counselor
- Enterprise, AL
National Provider Identifier
1780159384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3955
- Practice address
- 1311 Rucker Blvd
Enterprise, AL 36330-2234 - Phone
- (334) 417-0212
- Fax
- (334) 417-0213
- NPI assigned
- Oct 10, 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 | 3955 | AL | Primary |
Addresses
Primary practice location
1311 Rucker Blvd
Enterprise, AL 36330-2234
Mailing address
1311 Rucker Blvd
Enterprise, AL 36330-2234
Phone (334) 417-0212
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1780159384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 RUCKER BLVD",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302234",
"telephone_number": "334-417-0212",
"fax_number": "334-417-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 RUCKER BLVD",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302234",
"telephone_number": "334-417-0212",
"fax_number": "334-417-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELISLE",
"first_name": "BETTY",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "3955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.