Active NPI
Patricia L. McCormick, LPC
- Professional Counselor
- Vestavia, AL
National Provider Identifier
1942323019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2518
- Practice address
- 1850 Shades Crest Rd
Vestavia, AL 35216-1412 - Phone
- (205) 979-4670
- Fax
- (205) 979-4670
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2518 | AL | Primary |
Addresses
Primary practice location
1850 Shades Crest Rd
Vestavia, AL 35216-1412
Mailing address
6 Office Park Cir Ste 100
Mountain BRK, AL 35223-2664
Phone (205) 313-1793
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2518 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professtional Counseling Services | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Mountain BRK, AL
- NPI 1730554668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1942323019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 OFFICE PARK CIR STE 100",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352232664",
"telephone_number": "205-313-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SHADES CREST RD",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352161412",
"telephone_number": "205-979-4670",
"fax_number": "205-979-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "PATRICIA",
"middle_name": "L.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.