Individual provider Active NPI

Christopher Micheal Ross, LCSW, PIP

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1891055406
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2458C Issued in AL
Practice address
2010 S Point Park Cir
Huntsville, AL 35801-5477
Phone
(256) 882-2003
Fax
(256) 705-4630
NPI assigned
May 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2458C AL Primary

Addresses

Primary practice location

2010 S Point Park Cir
Huntsville, AL 35801-5477

Mailing address

2010 S Point Park Cir
Huntsville, AL 35801-5477
Phone (256) 882-2003

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2458CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Pain Therapies Center, Inc Past Accepting new patients
Foundations Counseling Center, Inc. Clinical Past Accepting new patients
Pathway Healthcare- Mississippi LLC PastSince Dec 22, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1891055406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S POINT PARK CIR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015477",
            "telephone_number": "256-882-2003",
            "fax_number": "256-705-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S POINT PARK CIR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015477",
            "telephone_number": "256-882-2003",
            "fax_number": "256-705-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHEAL",
        "credential": "LCSW, PIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2458C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.