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FELLOWSHIP HOUSE, INC.
NPI 1467590984
Substance Abuse Rehabilitation Facility in Birmingham, AL

Active since February 05, 2007CLIA 01D2116291 · Waiver
1625 12TH AVE S, BIRMINGHAM, AL 35205(205) 933-2430(205) 933-2475 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fellowship House, Inc. NPPES

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

FELLOWSHIP HOUSE, INC. (NPI 1467590984) is a healthcare organization registered as a substance abuse rehabilitation facility in Birmingham, Alabama and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Jim Counts, Director Of Programs, as its authorized official.

NPPES Registry Identity

NPI1467590984
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFELLOWSHIP HOUSE, INC.
Location Address1625 12TH AVE SBirmingham, AL 35205-4709
Mailing Address1625 12th Ave SBirmingham, AL 35205-4709 · (205) 933-2430 · Fax (205) 933-2475
Phone(205) 933-2430
Fax(205) 933-2475
Organization SubpartNo
Authorized OfficialJim CountsDirector Of Programs · (205) 933-2430
Enumeration DateFebruary 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467590984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1625 12TH AVE S, Birmingham, AL 35205
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2116291

Fellowship House Inc · Birmingham, AL
Active · expires Jul 21, 2028
CLIA Number01D2116291
Laboratory TypePractitioner Other
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorElizabeth S. Norman
Laboratory Phone(205) 933-2430
Laboratory LocationFellowship House Inc1625 12th Avenue South, Birmingham, AL 35205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARKAYA WILLIAMS-ABBOTT EDD, LPC
Counselor (Mental Health)
1625 12TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 639-2450
LYNELLE RUDENE BURTON
Counselor (Mental Health)
1625 12TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 933-2430

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 Fellowship House, Inc.'s NPI number?

The NPI number for Fellowship House, Inc. is 1467590984. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Fellowship House, Inc. located?

Fellowship House, Inc. is located at 1625 12th Ave S, Birmingham, AL 35205. The listed phone number is (205) 933-2430.

What is Fellowship House, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Fellowship House, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2116291) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fellowship House, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.