Individual provider Active NPI

Carmela Yvette Drake, PHD, LPCS, NCC,CAADP

  • Mental Health Counselor
  • Montgomery, AL
National Provider Identifier
1871117853
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3220 Issued in AL
Practice address
640 S McDonough St Ste 6
Montgomery, AL 36104-5850
Phone
(762) 250-9070
Fax
(334) 532-1210
NPI assigned
Jun 4, 2020
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3220 AL Primary

Addresses

Primary practice location

640 S McDonough St Ste 6
Montgomery, AL 36104-5850

Mailing address

640 S McDonough St Ste 6
Montgomery, AL 36104-5850
Phone (762) 250-9070

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3220ALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
GFG Counseling and Consulting Services CurrentSince Jul 10, 2022 Accepting new patients

Locations

640 S McDonough St
Ste 6
Montgomery, AL 36104
Phone (762) 250-9070

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1871117853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S MCDONOUGH ST STE 6",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361045850",
            "telephone_number": "762-250-9070",
            "fax_number": "334-532-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S MCDONOUGH ST STE 6",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361045850",
            "telephone_number": "762-250-9070",
            "fax_number": "334-532-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "CARMELA",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPCS, NCC,CAADP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.