Active NPI
Tuscaloosa Treatment Center
- Addiction (Substance Use Disorder) Counselor
- Tuscaloosa, AL
National Provider Identifier
1871970756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- TUSCALOOSA TREATMENT CENTER
- Practice address
- 1001 Mimosa Park Rd
Tuscaloosa, AL 35405-4843 - Phone
- (205) 752-5857
- NPI assigned
- Apr 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Higham
- Title
- Ceo
- Phone
- (214) 365-6112
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AL | Primary | |
| Community/Behavioral Health Agency | 251S00000X | AL | ||
| Health Maintenance Organization | 302R00000X | AL |
Addresses
Primary practice location
1001 Mimosa Park Rd
Tuscaloosa, AL 35405-4843
Mailing address
1001 Mimosa Park Rd
Tuscaloosa, AL 35405-4843
Phone (205) 752-5857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201103003021 | AL | Part B Supplier - Clinic/Group Practice | 4385079987 |
Receives reassigned benefits from 1 practitioner 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bessemer, AL; Cullman, AL; Grand Bay, AL; Tuscaloosa, AL |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Children's Substance Abuse Rehabilitation Facility
- Tuscaloosa, AL
- NPI 1548613276
O20201103003021
-
dba BHG Cullman Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Cullman, AL
- NPI 1023591039
O20201103003021
-
dba BHG Bessemer Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Bessemer, AL
- NPI 1134648439
O20201103003021
-
dba BHG Grand Bay Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Grand Bay, AL
- NPI 1821635137
O20201103003021
National Provider Directory
National Provider DirectoryLocations
1001 Mimosa Park Rd
Tuscaloosa, AL 35405
Phone (205) 393-1776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734912000000",
"number": "1871970756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MIMOSA PARK RD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354054843",
"telephone_number": "205-752-5857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MIMOSA PARK RD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354054843",
"telephone_number": "205-752-5857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUSCALOOSA TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-30",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A",
"authorized_official_last_name": "HIGHAM",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-365-6112"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AL",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "AL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.