Individual provider Active NPI

Ginger L Caudell, ALC, M.S.

  • Professional Counselor
  • Jacksonville, AL
National Provider Identifier
1952673576
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1716A Issued in AL
Practice address
613 Pelham Rd S
Suite 2
Jacksonville, AL 36265-2772
Phone
(256) 239-5662
Fax
(256) 217-4162
NPI assigned
Jan 27, 2012
Last updated
Jan 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1716A AL Primary

Addresses

Primary practice location

613 Pelham Rd S
Suite 2
Jacksonville, AL 36265-2772

Mailing address

PO Box 1162
Jacksonville, AL 36265-5162
Phone (256) 239-5662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 9, 2025 through May 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C1716AALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett Counseling and Consulting 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1952673576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1162",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362655162",
            "telephone_number": "256-239-5662",
            "fax_number": "256-217-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PELHAM RD S",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362652772",
            "telephone_number": "256-239-5662",
            "fax_number": "256-217-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDELL",
        "first_name": "GINGER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ALC, M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "C1716A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.