Southern Counseling Group – Clinical Psychologist, NPI 1679807291
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Southern Counseling Group
107 BANYAN TREE CT
ANDALUSIA, AL 364219788
Phone: (334) 582-2273
Type: Mailing
20932 COUNTY ROAD 70
ANDALUSIA, AL 364218398
Phone: (334) 582-2273
Type: Location
722 Douglas Ave
Brewton, AL 364261708
Phone: (334) 222-1818
Fax: (334) 222-1919
Type: Location
109 Medical Park Dr Ste C
Andalusia, AL 364205364
Phone: (334) 222-1818
Fax: (334) 222-1919
Type: Location
109 MEDICAL PARK DR
ANDALUSIA, AL 364205351
Phone: (334) 222-1811
Fax: (334) 222-1919
Type: Mailing
109 MEDICAL PARK DR STE C
ANDALUSIA, AL 364205364
Phone: (334) 222-1818
Fax: (334) 222-1919
Type: Location
858 S Three Notch St
Andalusia, AL 364205320
Phone: (334) 222-1818
Fax: (334) 221-1919
Type: Location
8 S Glenwood Ave
Luverne, AL 360492148
Phone: (334) 222-1818
Fax: (334) 222-1919
Type: Location
1300 Highway 231 S
Troy, AL 360813058
Phone: (334) 222-1818
Fax: (334) 222-1919
Type: Location
614 W BYPASS
ANDALUSIA, AL 364204731
Phone: (334) 222-3555
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20140707000476 | O | Clinic/Group Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36421)
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