Active NPI
Teresa Prince, MA, LPC, NCC, BCN
- Professional Counselor
- Birmingham, AL
National Provider Identifier
1780344804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC05000
- Practice address
- 200 Cahaba Park Cir Ste 214
Birmingham, AL 35242-8113 - Phone
- (205) 903-6282
- NPI assigned
- Dec 30, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC05000 | AL | Primary |
| Mental Health Counselor | 101YM0800X | C3881A | AL |
Addresses
Primary practice location
200 Cahaba Park Cir Ste 214
Birmingham, AL 35242-8113
Mailing address
200 Cahaba Park Cir Ste 214
Birmingham, AL 35242-8113
Phone (205) 903-6282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3881A | AL | MD | Mental Health Counselor |
| LPC05000 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1780344804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CAHABA PARK CIR STE 214",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352428113",
"telephone_number": "205-903-6282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CAHABA PARK CIR STE 214",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352428113",
"telephone_number": "205-903-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "TERESA",
"credential": "MA, LPC, NCC, BCN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-30",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC05000",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "C3881A",
"primary": false
}
],
"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 Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.