Jillian Mosley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3409 Issued in AL

Practice address

580 Providence Park Dr E Ste 124B
Mobile, AL 36695-4614

Phone

(251) 219-9810

NPI assigned

Sep 15, 2015

Last updated

Jun 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jillian Harvison Former name

Medicare fee-for-service enrollment

Enrolled in AL, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Behavioral Counseling LLCGroup PAC ID 1355604836, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADDIAD/Endpoint/ADDIAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Impact Behavioral Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, TN
  • NPI 1386169050

  AL, MS

  Medicare reassignment Care Compare group NPD
• Finding Peace Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saraland, AL
  • NPI 1649853656
  NPD Authorized official
• Pathway Healthcare- Mississippi LLC

  • Addiction Medicine (Family Medicine) Physician
  • Laurel, MS
  • NPI 1013425503
  NPD
• PW-Hospital Bridge Services, LLC

  dba Pathway Healthcare - Hospital Bridge Services, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Springfield, TN
  • NPI 1811508765
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1003285578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 URBAN CENTER DR STE 600",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422584",
            "telephone_number": "205-208-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PROVIDENCE PARK DR E STE 124B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954614",
            "telephone_number": "251-219-9810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 S Point Park Cir Ste 2",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015477",
            "country_code": "US",
            "telephone_number": "256-880-5818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 Medical Park Dr E",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353400",
            "country_code": "US",
            "telephone_number": "205-517-7730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 Roper Ln",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365265274",
            "country_code": "US",
            "telephone_number": "251-378-6523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28119 N Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365267090",
            "country_code": "US",
            "telephone_number": "251-214-0040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 Military St S Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "AL",
            "postal_code": "355706651",
            "country_code": "US",
            "telephone_number": "205-921-5556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22454 US Highway 72 Ste 320",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356132609",
            "country_code": "US",
            "telephone_number": "256-464-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "JILLIAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "HARVISON",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mosley Healthcare Service LLC
• Angela Sharese Mosley-Johnson, MD
• Anna Mosley
• Cornetta Lashell Mosley
• Holly McLeod Mosley, MA, ALC, NCC
• Karen Mosley
• Saman Mostajabian, DDS
• Carolyn Choice Mostellar
• Charles Stebner Mosteller, M.D.
• Matthew Wooley Mosteller, M.D.

• Professional Counselor in Mobile, AL
• Providers in Mobile, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.