Active NPI
Mary Bartlett, LPC
- Mental Health Counselor
- Montgomery, AL
National Provider Identifier
1982605515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2045
- Practice address
- 315 St. Lukes Drive
Montgomery, AL 36117 - Phone
- (256) 546-9265
- Fax
- (256) 549-0376
- NPI assigned
- Aug 4, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2045 | AL | Primary |
Addresses
Primary practice location
315 St. Lukes Drive
Montgomery, AL 36117
Mailing address
3001 Scenic Hwy
Gadsden, AL 35904-3047
Phone (256) 546-9265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2045 | Other | AL | LPC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1982605515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 SCENIC HWY",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359043047",
"telephone_number": "256-546-9265",
"fax_number": "256-549-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 ST. LUKES DRIVE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36117",
"telephone_number": "256-546-9265",
"fax_number": "256-549-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLETT",
"first_name": "MARY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-04",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "2045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "2045",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}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 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.