Individual provider Active NPI

Raena Maday, MA, LPC

  • Mental Health Counselor
  • Birmingham, AL
National Provider Identifier
1912459850
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3616 Issued in AL
Practice address
1900 14TH Ave S
Birmingham, AL 35205-4906
Phone
(205) 933-0338
Fax
(205) 933-0343
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3616 AL Primary

Addresses

Primary practice location

1900 14TH Ave S
Birmingham, AL 35205-4906

Mailing address

1900 14TH Ave S
Birmingham, AL 35205-4906
Phone (205) 933-0338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240214001366 TN Practitioner - Mental Health Counselor 4880038256 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5778TNMDCritical Care Medicine (Anesthesiology) Physician
3616ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services CurrentSince Jan 1, 2024 Accepting new patients
Alliance Healthcare Services CurrentSince Jan 1, 2024 Accepting new patients
Oasis Women'S Counseling Center Mental Health Past Accepting new patients
Oasis: a Women'S Counseling Center Past Accepting new patients

Locations

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

2100 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

2579 Douglass Ave
Memphis, TN 38114
Phone (901) 369-1418

1200 Peabody Ave
Memphis, TN 38104
Phone (901) 272-0003

3200 Broad Ave
Memphis, TN 38112
Phone (901) 577-9400

2150 Whitney Ave
Memphis, TN 38127
Phone (901) 353-5440

2673 Yale Ave
Memphis, TN 38112
Phone (901) 262-4112

Organizations & group practices 4

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1912459850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054906",
            "telephone_number": "205-933-0338",
            "fax_number": "205-933-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054906",
            "telephone_number": "205-933-0338",
            "fax_number": "205-933-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAY",
        "first_name": "RAENA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.