JEFFERSON-BLOUNT-ST. CLAIR MH/MR AUTHORITY (NPI# 1174799308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174799308 |
| Entity Type | Organization |
| Organization Name | JEFFERSON-BLOUNT-ST. CLAIR MH/MR AUTHORITY |
| Other Organization Name | JBS MH/MR AUTHORITY |
| Practice Address |
940 Montclair Rd Suite 200 Birmingham AL 35213-1217 |
| Practice Telephone | 2055954555 |
| Practice Fax Number | 2055923539 |
| Mailing Telephone | 2055954555 |
| Mailing Fax Number | 2055923539 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | DR. RICHARD CRAIG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2055954555 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON-BLOUNT-ST. CLAIR MH/MR AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 590000017 | 05 | |
| AL | 008506000 | 05 | |
| AL | BCBS ALL KIDS PLUS | 515-11694 | 01 |
| AL | 330000017 | 05 | |
| AL | 330034017 | 05 |
| Other Name | Type Code |
|---|---|
| JBS MH/MR Authority | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073610499 | Jefferson-blount-st. Clair Mh/mr Authority | Case Management | 940 Montclair Rd, Suite 200, Birmingham, AL 35213-1217 | 2006-09-20 |
| Street Address |
940 MONTCLAIR RD SUITE 200 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35213-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073610499 | Jefferson-blount-st. Clair Mh/mr Authority | Case Management | 940 Montclair Rd, Suite 200, Birmingham, AL 35213-1217 | 2006-09-20 |
| 1043568785 | Venita Elizabeth Gowdy | Counselor | 940 Montclair Rd, Ste 200, Birmingham, AL 35213-1217 | 2012-08-28 |
| 1487865432 | Andrea Dickens | Psychiatry & Neurology | 940 Montclair Rd, Birmingham, AL 35213-1217 | 2007-05-24 |
| 1053450858 | James Edward Parker | Psychiatry & Neurology | 940 Montclair Rd, Suite 200, Birmingham, AL 35213-1217 | 2007-02-06 |
| 1871632703 | Richard Lee Craig | Psychologist | 940 Montclair Rd, Suite 200, Birmingham, AL 35213-1217 | 2007-02-06 |
| 1447399357 | Robbyn Gurley Lawson | Social Worker | 940 Montclair Rd, Suite 200, Birmingham, AL 35213-1217 | 2007-02-06 |
| 1083753800 | Timothy E Stone | Psychiatry & Neurology | 940 Montclair Rd, Suite 200, Birmingham, AL 35213-1217 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
| 1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
| 1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
| 1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
| Find all providers in zip 35213 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360574 | Creative Therapeutic Solutions LLC | Clinic/Center | 3536 Vann Rd Ste A12, Birmingham, AL 35235-3208 | 2020-06-12 |
| 1124654421 | Apollo Counseling and Mental Health Services, LLC | Clinic/Center | 1117 22nd St S Ste 208, Birmingham, AL 35205-2813 | 2020-03-18 |
| 1205460698 | Continuum Counseling and Consulting | Clinic/Center | 2910 Linden Ave Ste 101, Birmingham, AL 35209-2544 | 2020-02-25 |
| 1093374845 | Alabama Professional Counseling, LLC | Clinic/Center | 741 Volare Dr, Birmingham, AL 35244-1750 | 2019-06-06 |
| 1548733967 | New Insight Integrated Health Services | Clinic/Center | 7300 1st Ave N Ste A, Birmingham, AL 35206-4213 | 2019-01-08 |
| 1679088033 | Parker Counseling & Consulting LLC | Clinic/Center | 198 Narrows Dr Ste 103, Birmingham, AL 35242-8663 | 2017-12-07 |
| 1891133047 | Highlands Treatment Center,llc | Clinic/Center | 5101 Cyrus Cir, Birmingham, AL 35242-4631 | 2013-06-10 |
| 1013516699 | Cr Counseling LLC | Clinic/Center | 1037 22nd St S, Birmingham, AL 35205-2874 | 2020-10-23 |
| 1891320032 | T & C Enterprises LLC | Clinic/Center | 4000 Eagle Point Corporate Dr, Birmingham, AL 35242-1900 | 2020-03-09 |
| 1659548444 | Western Mental Health Center Inc | Clinic/Center | 1701 Avenue D, Birmingham, AL 35218-1532 | 2008-05-12 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35213 |
Please comment or provide details below to improve the information on JEFFERSON-BLOUNT-ST. CLAIR MH/MR AUTHORITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.