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INTERVENTION SERVICES OF SOUTHEAST ALABAMA, LLC
NPI 1285340406
Social Worker - Clinical in Enterprise, AL

Active since January 31, 2023
557 GLOVER AVE, ENTERPRISE, AL 36330(334) 308-2292 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Intervention Services Of Southeast Alabama, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERVENTION SERVICES OF SOUTHEAST ALABAMA, LLC (NPI 1285340406) is a healthcare organization registered as a clinical in Enterprise, Alabama and active in the NPI registry since January 2023. The organization maintains a secondary practice location in Enterprise and lists Jessyca Renae Coleman, Therapist, as its authorized official.

NPPES Registry Identity

NPI1285340406
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINTERVENTION SERVICES OF SOUTHEAST ALABAMA, LLC
Location Address557 GLOVER AVEEnterprise, AL 36330-2024
Mailing Address108 Crest Hill DrEnterprise, AL 36330-4474 · (334) 406-0816
Phone(334) 308-2292
Organization SubpartNo
Authorized OfficialJessyca Renae ColemanTherapist · (334) 406-0816
Enumeration DateJanuary 31, 2023
NPPES CertifiedJanuary 31, 2023
✔ NPI 1285340406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
557 GLOVER AVE, Enterprise, AL 36330
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Secondary Practice Location 1

Location 1108 Crest Hill DrEnterprise, AL 36330-4474 · Phone (334) 406-0816

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Intervention Services Of Southeast Alabama, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Intervention Services Of Southeast Alabama, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessyca Coleman
Clinical Social Worker
NPI 1023750221
557 GLOVER AVE STE 3
Enterprise, AL 36330
(334) 308-2292
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intervention Services Of Southeast Alabama, LLC's NPI number?

The NPI number for Intervention Services Of Southeast Alabama, LLC is 1285340406. It was assigned to this organization in the NPPES registry on January 31, 2023.

Where is Intervention Services Of Southeast Alabama, LLC located?

Intervention Services Of Southeast Alabama, LLC is located at 557 Glover Ave, Enterprise, AL 36330. The listed phone number is (334) 308-2292.

What is Intervention Services Of Southeast Alabama, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Intervention Services Of Southeast Alabama, LLC enrolled in Medicare?

Yes. Intervention Services Of Southeast Alabama, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Intervention Services Of Southeast Alabama, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Intervention Services Of Southeast Alabama, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Intervention Services Of Southeast Alabama, LLC was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.