Individual provider Active NPI

Shahla Alam, PC

  • Professional Counselor
  • Chillicothe, OH
National Provider Identifier
1881992386
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.1600436 Issued in NU
Practice address
220 N Plaza Blvd
Chillicothe, OH 45601-1787
Phone
(740) 851-6493
NPI assigned
Mar 8, 2011
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C0900250 OH
Professional Counselor 101YP2500X C.1600436 NU Primary

Addresses

Primary practice location

220 N Plaza Blvd
Chillicothe, OH 45601-1787

Mailing address

PO Box 3095
Dublin, OH 43016-0046
Phone (740) 357-8615

Other practice location 1

4449 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 775-1260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114002749 OH Practitioner - Mental Health Counselor 3870084015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Ohio Medical University, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

812 Golfview Dr
Chillicothe, OH 45601-7900

PO Box
Suite 900926
Sandy, UT 84090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0900250OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC CurrentSince Sep 6, 2025 Accepting new patients
Phoenix Group Home, LLC CurrentSince Sep 6, 2025 Accepting new patients

Locations

306 W Union St
Athens, OH 45701
Phone (740) 764-4529

902 Gallia St
Portsmouth, OH 45662
Phone (740) 352-1950

221 W Emmitt Ave
Ste 1
Waverly, OH 45690
Phone (740) 835-4054

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations & group practices 2

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1881992386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3095",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430160046",
            "telephone_number": "740-357-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PLAZA BLVD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011787",
            "telephone_number": "740-851-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4449 State Route 159",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456018620",
            "country_code": "US",
            "telephone_number": "740-775-1260",
            "fax_number": "740-773-1264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAM",
        "first_name": "SHAHLA",
        "credential": "PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0900250",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": "C.1600436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.