Active NPI
Phillip W Gramling, LPC
- Mental Health Counselor
- Rainbow City, AL
National Provider Identifier
1780684746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2369
- Practice address
- 105 Church St
Suite B
Rainbow City, AL 35906-6242 - Phone
- (256) 393-1888
- NPI assigned
- Jul 29, 2005
- Last updated
- Jun 20, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2369 | AL | Primary |
Addresses
Primary practice location
105 Church St
Suite B
Rainbow City, AL 35906-6242
Mailing address
118 Oak Cir
Gadsden, AL 35901-5814
Phone (256) 393-1888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2369 | Other | AL | LPC |
Other names 1
- Phillip Wayne Gramling
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 |
|---|---|---|---|
| 2369 | AL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1780684746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 OAK CIR",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015814",
"telephone_number": "256-393-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CHURCH ST",
"address_2": "SUITE B",
"city": "RAINBOW CITY",
"state": "AL",
"postal_code": "359066242",
"telephone_number": "256-393-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAMLING",
"first_name": "PHILLIP",
"middle_name": "W",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "2369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "2369",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PHILLIP",
"last_name": "GRAMLING",
"middle_name": "WAYNE",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rainbow City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.