Active NPI
Somiya M. Murtadi
- Mental Health Counselor
- Daleville, AL
National Provider Identifier
1780219931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C3426A
- Practice address
- 472 N Daleville Ave
Daleville, AL 36322-2076 - Phone
- (334) 245-3367
- Fax
- (334) 245-0158
- NPI assigned
- Mar 9, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ADC-941 | AL | |
| Mental Health Counselor | 101YM0800X | C3426A | AL | Primary |
Addresses
Primary practice location
472 N Daleville Ave
Daleville, AL 36322-2076
Mailing address
472 N Daleville Ave
Daleville, AL 36322-2076
Phone (334) 803-2959
Other practice location 1
1247 Fort Rucker Blvd Ste A
Enterprise, AL 36330-3631
Phone (334) 803-2959
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sam@acceptancecounselinggroup.org | ||
| Direct Messaging Address | sam@acceptancecounselinggroup.org |
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 |
|---|---|---|---|
| ADC-941 | AL | MD | Addiction (Substance Use Disorder) Counselor |
| C3426A | AL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acceptance Counseling Group LLC | Single Specialty | Current | Accepting new patients |
Locations
472 N Daleville Ave
Daleville, AL 36322
Phone (334) 245-3367
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.
-
- Professional Counselor
- Daleville, AL
- NPI 1841911450
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1780219931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472 N DALEVILLE AVE",
"city": "DALEVILLE",
"state": "AL",
"postal_code": "363222076",
"telephone_number": "334-803-2959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 N DALEVILLE AVE",
"city": "DALEVILLE",
"state": "AL",
"postal_code": "363222076",
"telephone_number": "334-245-3367",
"fax_number": "334-245-0158"
}
],
"practiceLocations": [
{
"address_1": "1247 Fort Rucker Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Enterprise",
"state": "AL",
"postal_code": "363303631",
"country_code": "US",
"telephone_number": "334-803-2959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURTADI",
"first_name": "SOMIYA",
"middle_name": "M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AL",
"license": "ADC-941",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "C3426A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sam@acceptancecounselinggroup.org",
"affiliation": "N",
"address_1": "1247 Fort Rucker Blvd Ste A",
"city": "Enterprise",
"state": "AL",
"country_code": "US",
"postal_code": "363303631",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sam@acceptancecounselinggroup.org",
"affiliation": "N",
"address_1": "472 N Daleville Ave",
"city": "Daleville",
"state": "AL",
"country_code": "US",
"postal_code": "363222076",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Daleville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.