Active NPI
Octiavia Sharnea Mason, ALC
- Counseling Psychologist
- Uniontown, AL
National Provider Identifier
1023653177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 330 Old Hamburg Rd
Uniontown, AL 36786-2614 - Phone
- (334) 628-2651
- Fax
- (334) 628-2656
- NPI assigned
- Nov 13, 2019
- Last updated
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | AL | Primary |
Addresses
Primary practice location
330 Old Hamburg Rd
Uniontown, AL 36786-2614
Mailing address
415 Barrett Rd
Selma, AL 36701-6906
Phone (334) 267-9094
Other practice location 1
228 Selma Ave
Selma, AL 36701-5825
Phone (334) 877-1490
Other practice location 2
1310 Washington St
Marion, AL 36756-3218
Phone (334) 683-2073
Other practice location 3
111 Main St
Thomaston, AL 36783-3137
Phone (334) 627-3497
Other practice location 4
867 County Road 59
Pine Apple, AL 36768-3525
Phone (251) 746-2197
Other practice location 5
1502 US Highway 80 E
Demopolis, AL 36732-3921
Phone (334) 289-1193
Other practice location 6
2210 Highway 221
Camden, AL 36726-4233
Phone (334) 682-5772
Other practice location 7
1502 US Highway 80 E Unit A
Demopolis, AL 36732-3921
Phone (334) 289-1193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C3432A | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1023653177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 BARRETT RD",
"city": "SELMA",
"state": "AL",
"postal_code": "367016906",
"telephone_number": "334-267-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 OLD HAMBURG RD",
"city": "UNIONTOWN",
"state": "AL",
"postal_code": "367862614",
"telephone_number": "334-628-2651",
"fax_number": "334-628-2656"
}
],
"practiceLocations": [
{
"address_1": "228 Selma Ave",
"address_purpose": "LOCATION",
"city": "Selma",
"state": "AL",
"postal_code": "367015825",
"country_code": "US",
"telephone_number": "334-877-1490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1310 Washington St",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "AL",
"postal_code": "367563218",
"country_code": "US",
"telephone_number": "334-683-2073",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Main St",
"address_purpose": "LOCATION",
"city": "Thomaston",
"state": "AL",
"postal_code": "367833137",
"country_code": "US",
"telephone_number": "334-627-3497",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "867 County Road 59",
"address_purpose": "LOCATION",
"city": "Pine Apple",
"state": "AL",
"postal_code": "367683525",
"country_code": "US",
"telephone_number": "251-746-2197",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1502 US Highway 80 E",
"address_purpose": "LOCATION",
"city": "Demopolis",
"state": "AL",
"postal_code": "367323921",
"country_code": "US",
"telephone_number": "334-289-1193",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2210 Highway 221",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "AL",
"postal_code": "367264233",
"country_code": "US",
"telephone_number": "334-682-5772",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1502 US Highway 80 E Unit A",
"address_purpose": "LOCATION",
"city": "Demopolis",
"state": "AL",
"postal_code": "367323921",
"country_code": "US",
"telephone_number": "334-289-1193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASON",
"first_name": "OCTIAVIA",
"middle_name": "SHARNEA",
"name_prefix": "Miss",
"credential": "ALC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C3432A",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Uniontown, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.