Active NPI
Shahla Alam, PC
- Professional Counselor
- Chillicothe, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.1600436
- Practice address
- 220 N Plaza Blvd
Chillicothe, OH 45601-1787 - Phone
- (740) 851-6493
- NPI assigned
- Mar 8, 2011
- Last updated
- Dec 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| C0900250 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Group Home, LLC | Current | Accepting new patients | |
| Phoenix Group Home, LLC | Current | 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
- 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.
-
dba PATH Integrated Healthcare
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1083146013
-
dba Path Behavioral Health- SUD
- Substance Abuse Rehabilitation Facility
- Cincinnati, OH
- NPI 1336654854
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.