Active NPI
Antonio Frequaz Givhan, MS, ALC, ECMH-E
- Counselor
- Montgomery, AL
National Provider Identifier
1912654229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C3995A
- Practice address
- 6217 Wynfrey PL
Montgomery, AL 36117-4813 - Phone
- (334) 819-6508
- NPI assigned
- Mar 7, 2022
- Last updated
- Mar 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C3995A | AL | Primary |
Addresses
Primary practice location
6217 Wynfrey PL
Montgomery, AL 36117-4813
Mailing address
6217 Wynfrey PL
Montgomery, AL 36117-4813
Phone (334) 819-6508
Other names 1
- Mr. Antonio Frequaz Givhan
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3995A | AL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1912654229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6217 WYNFREY PL",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361174813",
"telephone_number": "334-819-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6217 WYNFREY PL",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361174813",
"telephone_number": "334-819-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIVHAN",
"first_name": "ANTONIO",
"middle_name": "FREQUAZ",
"name_prefix": "Mr.",
"credential": "MS, ALC, ECMH-E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "C3995A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANTONIO",
"last_name": "GIVHAN",
"middle_name": "FREQUAZ",
"prefix": "MR.",
"credential": "MS, ALC, ECMH-E",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.