NPIMap

Organization Active NPI

Elizabeth Clemons Mental Health Counseling Services LLC

  • Mental Health Counselor
  • Luverne, AL
National Provider Identifier
1922658558
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELIZABETH CLEMONS MENTAL HEALTH COUNSELING SERVICES LLC
Practice address
5089 Mount Ida Rd
Luverne, AL 36049-4115
Phone
(443) 987-6404
Fax
(443) 914-2107
NPI assigned
Sep 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Mrs. Elizabeth Clemons, MS, LCPCNPI 1407220973
Title
Owner/ Psychotherapist
Phone
(443) 987-6404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5089 Mount Ida Rd
Luverne, AL 36049-4115

Mailing address

5089 Mount Ida Rd
Luverne, AL 36049-4115
Phone (443) 987-6404

Other identifiers 2

IdentifierTypeStateIssuer
1922658558OtherELIZABETH CLEMONS MENTAL HEALTH COUNSELLING SERVICES, LLC.
1922658558OtherBCBCS- AL

Other names 1

  • Elizabeth Clemons Mental Health Counseling Services LLC Other name

National Provider Directory

National Provider Directory

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": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1922658558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5089 MOUNT IDA RD",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360494115",
            "telephone_number": "443-987-6404",
            "fax_number": "443-914-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5089 MOUNT IDA RD",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360494115",
            "telephone_number": "443-987-6404",
            "fax_number": "443-914-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CLEMONS MENTAL HEALTH COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/ PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "443-987-6404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELIZABETH CLEMONS MENTAL HEALTH COUNSELLING SERVICES, LLC.",
            "identifier": "1922658558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBCS- AL",
            "identifier": "1922658558",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Clemons Mental Health Counseling Services LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Elizabeth Clemons Mental Health Counseling Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Luverne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.