Organization Active NPI

Oak Mountain Counseling LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Birmingham, AL
National Provider Identifier
1861239030
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
OAK MOUNTAIN COUNSELING LLC
Practice address
450B Century Park S
Birmingham, AL 35226-3910
Phone
(205) 441-4711
NPI assigned
Jul 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Authorized official

Name
Jeremy Robuck, LPCNPI 1265173926
Title
Owner
Phone
(205) 441-4711

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

450B Century Park S
Birmingham, AL 35226-3910

Mailing address

5160 Hollow Log LN
Birmingham, AL 35244-1924
Phone (205) 441-4711

National Provider Directory

National Provider Directory

Locations

450 Century Park S
#B
Birmingham, AL 35226
Phone (205) 441-4711

Practitioners & affiliated clinicians

Practitioners 1

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": "1720828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1861239030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 HOLLOW LOG LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441924",
            "telephone_number": "205-441-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450B CENTURY PARK S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352263910",
            "telephone_number": "205-441-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK MOUNTAIN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "ROBUCK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-441-4711",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 13, 2024; 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.