Gwendolyn Miniard

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3614A Issued in AL

Practice address

517 Energy Center Blvd Ste 1303
Northport, AL 35473-5810

Phone

(205) 399-8500

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bright Horizons Family Resource Center, LLC.

  • Mental Health Counselor
  • Northport, AL
  • NPI 1659942514
  NPD Authorized official

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1871163196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 BLACKSTONE LN",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354731091",
            "telephone_number": "205-399-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 ENERGY CENTER BLVD STE 1303",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735810",
            "telephone_number": "205-399-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINIARD",
        "first_name": "GWENDOLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3614A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brighthorizons4u@gmail.com",
            "affiliation": "N",
            "endpointDescription": "agency email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "517 Energy Center Blvd Ste 1303",
            "city": "Northport",
            "state": "AL",
            "country_code": "US",
            "postal_code": "354735810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dynasty D Merriweather
• James Sherrod Miller, DO
• Jana Miller, RDN, LDN
• Todd Gibbons Miller, PT
• Jscqueline Rene Millwood, PHARMD
• Kelcie Minor, PHARMD
• Kristen Minor
• Kathrice Unique Mitchell, RN
• Latonia Mitchell
• Mitt Lary Family Practice, LLC

• Mental Health Counselor in Northport, AL
• Providers in Northport, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.