Individual provider Active NPI

Charles Nathan Lumbatis, ED.S., M.A., LPC

  • Professional Counselor
  • Dothan, AL
National Provider Identifier
1780889733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2543 Issued in AL
Practice address
101 Medical Dr
Dothan, AL 36303-6903
Phone
(334) 702-7222
Fax
(334) 702-1944
NPI assigned
Jun 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2543 AL Primary

Addresses

Primary practice location

101 Medical Dr
Dothan, AL 36303-6903

Mailing address

636 Westwood Rd
Dothan, AL 36303-2928
Phone (334) 797-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322002540 AL Practitioner - Mental Health Counselor 4587001722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

187 Belmont Dr
Dothan, AL 36305-6500
Phone (334) 671-1280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2543ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Steps, LLC Professional CurrentSince Jan 20, 2024 Accepting new patients

Locations

101 Medical Dr
Dothan, AL 36303
Phone (334) 702-7222

187 Belmont Dr
Dothan, AL 36305
Phone (334) 671-1280

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780889733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 WESTWOOD RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032928",
            "telephone_number": "334-797-1145",
            "fax_number": "334-702-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036903",
            "telephone_number": "334-702-7222",
            "fax_number": "334-702-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMBATIS",
        "first_name": "CHARLES",
        "middle_name": "NATHAN",
        "name_prefix": "Mr.",
        "credential": "ED.S., M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.