NPIMap

Organization Active NPI

Mary Tate Wade Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain BRK, AL
National Provider Identifier
1790476638
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MARY TATE WADE COUNSELING LLC
Doing business as
Mary Tate Wade Counseling LLC
Practice address
400 Office Park Dr Ste 130
Mountain BRK, AL 35223-3409
Phone
(205) 730-6217
NPI assigned
May 19, 2023
Last updated
May 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Mary Tate Thomas Wade, MA, ALCNPI 1689398695
Title
Associate Licensed Counselor
Phone
(205) 862-2603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

400 Office Park Dr Ste 130
Mountain BRK, AL 35223-3409

Mailing address

400 Office Park Dr Ste 130
Mountain BRK, AL 35223-3409
Phone (205) 730-6217

Other names 1

  • Mary Tate Wade Counseling LLC Doing business as

National Provider Directory

National Provider Directory

Locations

400 Office Park Dr
Ste 130
Mountain Brk, AL 35223
Phone (205) 730-6217

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1790476638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OFFICE PARK DR STE 130",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352233409",
            "telephone_number": "205-730-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OFFICE PARK DR STE 130",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352233409",
            "telephone_number": "205-730-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY TATE WADE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "TATE THOMAS",
        "authorized_official_title_or_position": "ASSOCIATE LICENSED COUNSELOR",
        "authorized_official_telephone_number": "205-862-2603",
        "authorized_official_credential": "MA, ALC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Tate Wade Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.