NPIMap

Organization Active NPI

Warren Behavioral Care

  • Professional Counselor
  • Dothan, AL
National Provider Identifier
1851762009
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3455 Issued in AL
Legal business name
WARREN BEHAVIORAL CARE
Practice address
201 Regency CT
Dothan, AL 36305-1179
Phone
(334) 673-8869
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Fernelle WarrenNPI 1023058161
Title
Clinical Psychologist
Phone
(334) 808-8991

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 3455 AL Primary

Addresses

Primary practice location

201 Regency CT
Dothan, AL 36305-1179

Mailing address

201 Regency CT
Dothan, AL 36305-1179
Phone (334) 673-8869

Other identifiers 3

IdentifierTypeStateIssuer
051532779OtherALMEDICARE
51532779OtherALBLUE CROSS AND BLUE SHIELD
529927710MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Warren Behavioral Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 Regency Ct
Dothan, AL 36305

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1851762009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 REGENCY CT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051179",
            "telephone_number": "334-673-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 REGENCY CT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051179",
            "telephone_number": "334-673-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN BEHAVIORAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "FERNELLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "334-808-8991"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "051532779",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "51532779",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529927710",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.