SRG Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SRG COUNSELING, LLC

Practice address

4000 Eagle Point Drive
Birmingham, AL 35242-3524

Phone

(205) 677-8360

NPI assigned

May 14, 2021

Last updated

May 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gwendolyn Suzanne Rich Goodwin, M.ED, LPCNPI 1437795143

Title

Licensed Professional Counselor

Phone

(205) 677-8360

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gwendolyn Suzanne Rich Goodwin, M.ED., LPC

  • Professional Counselor
  • Chelsea, AL
  • NPI 1437795143
  NPD Authorized official

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1942874987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SHELBY FOREST DR",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350435519",
            "telephone_number": "205-677-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EAGLE POINT DRIVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423524",
            "telephone_number": "205-677-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRG COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "RICH GOODWIN",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "205-677-8360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachel La Rue Spurrier, DO
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• Brendan R Squier, DMD MD
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• SRX Pharmacy Services, Inc. (Solutions Rx Pharmacy)
• SSC Birmingham Operating Company LLC (Fairview Health and Rehabilitation Center)
• SSD, LLC (Southern Skies Dermatology and Surgery)

• Community/Behavioral Health Agency in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.