MR. JERRY MARK MOTT (NPI# 1508111774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508111774 |
| Entity Type | Individual |
| Full Name | MR. JERRY MARK MOTT |
| Credential | M.S. |
| Practice Address |
273 Azalea Rd One Office Park, Suite 305 Mobile AL 36609-1970 |
| Practice Telephone | 2513800215 |
| Practice Fax Number | 2513041113 |
| Mailing Telephone | 2513800215 |
| Mailing Fax Number | 2513041113 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1557 | AL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | LICENSED PROFESSIONAL COUNSELOR | 1557 | 01 |
| Street Address |
273 AZALEA RD ONE OFFICE PARK, SUITE 305 |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306837315 | Marilynn K Hammond | Psychiatry & Neurology | 273 Azalea Rd, One Office Park Suite 302, Mobile, AL 36609-1970 | 2005-10-31 |
| 1255781191 | Quality Caregivers Solution Services LLC | Case Management | 273 Azalea Rd, Suite 100 Bldg 1, Mobile, AL 36609-1970 | 2016-06-21 |
| 1992169833 | Laura Adlington | Speech-Language Pathologist | 273 Azalea Rd, Mobile, AL 36609-1970 | 2016-04-06 |
| 1497153217 | Worthy Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 273 Azalea Rd, Ste 208, Mobile, AL 36609-1970 | 2014-12-10 |
| 1780005629 | John W Davis, Ph.d. | Psychologist | 273 Azalea Rd, Suite 2-413, Mobile, AL 36609-1970 | 2013-12-19 |
| 1225386162 | Jessica Shenesey | Psychologist | 273 Azalea Rd, Suite 2-413, Mobile, AL 36609-1970 | 2012-08-27 |
| 1225202401 | Marilynn Hammond Md LLC | Psychiatry & Neurology | 273 Azalea Rd, One Office Park, Suite 302, Mobile, AL 36609-1970 | 2008-04-17 |
| 1255510681 | Jeff Glen Porter | Physical Therapist | 273 Azalea Rd, Mobile, AL 36609-1970 | 2007-11-01 |
| 1497959100 | Sera K Cox | Psychiatry & Neurology | 273 Azalea Rd, Suite 302, Mobile, AL 36609-1970 | 2007-06-14 |
| 1942426804 | Southern Psychological Services, P.C. | Psychologist | 273 Azalea Rd, One Office Park, Suite 305, Mobile, AL 36609-1970 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344602 | H.o.p.e. Counseling and Consulting, LLC | Counselor | 820 S. University Blvd Ste. 4-f, Mobile, AL 36609-3660 | 2020-10-19 |
| 1346891223 | Bay Area Professional Counseling LLC | Counselor | 3263 Demetropolis Rd Ste 8, Mobile, AL 36693-4638 | 2019-09-23 |
| 1487202859 | Cindy Kay Perronne | Counselor | 8161 Pine West Ct E, Mobile, AL 36695-9113 | 2019-08-29 |
| 1942861091 | Vallarie Jones | Counselor | 759 Courtney St, Mobile, AL 36606-4526 | 2019-06-27 |
| 1740742485 | The Nook Counseling Services, LLC | Counselor | 900 Downtowner Blvd Ste A-1, Mobile, AL 36609-5435 | 2019-04-02 |
| 1831653807 | Jessica Mcdonald | Counselor | 4087 Cottage Hill Rd Ste B, Mobile, AL 36609-4226 | 2019-01-24 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1871086850 | Tina Sullins Howard | Counselor | 879 Snow Rd N Ste 1c, Mobile, AL 36608-9713 | 2018-06-13 |
| 1568953255 | Reshonda Esther Hayles | Counselor | 2007 Carstens Ct, Mobile, AL 36617-3709 | 2018-05-29 |
| 1093218414 | Margaret Rose Lolley | Counselor | 1509 Government St Ste 102, Mobile, AL 36604-2016 | 2018-03-12 |
| Find all providers in MOBILE | ||||
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| 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.