Organization Active NPI

Cultivate Clinical Counseling, LLC

  • Clinical Social Worker
  • Cullman, AL
National Provider Identifier
1891667994
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CULTIVATE CLINICAL COUNSELING, LLC
Practice address
1310 2ND Ave NW Ste C
Cullman, AL 35055-1703
Phone
(256) 640-6870
NPI assigned
Sep 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Pattiq Bearden, LICSW
Title
Owner/Therapist
Phone
(256) 640-6870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1310 2ND Ave NW Ste C
Cullman, AL 35055-1703

Mailing address

531 County Road 1819
Arab, AL 35016-2860
Phone (256) 640-6870

National Provider Directory

National Provider Directory

Locations

1310 2nd Ave NW
#C
Cullman, AL 35055
Phone (256) 640-6870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1891667994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 COUNTY ROAD 1819",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350162860",
            "telephone_number": "256-640-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 2ND AVE NW STE C",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551703",
            "telephone_number": "256-640-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE CLINICAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "PATTIQ",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "256-640-6870",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.