Individual provider Active NPI

Robert James Layzod, LPC

  • Mental Health Counselor
  • Mobile, AL
National Provider Identifier
1073680294
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MASTERS Issued in AL
Practice address
6312 Piccadilly Square Dr Ste 3
Mobile, AL 36609-5217
Phone
(251) 343-5300
NPI assigned
Nov 30, 2006
Last updated
May 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4021 AL
Mental Health Counselor 101YM0800X MASTERS AL Primary

Addresses

Primary practice location

6312 Piccadilly Square Dr Ste 3
Mobile, AL 36609-5217

Mailing address

6312 Piccadilly Square Dr Ste 3
Mobile, AL 36609-5217
Phone (251) 343-5300

Other practice location 1

1315 13th Ave SE
Decatur, AL 35601-4308
Phone (256) 355-6105

Other identifiers 3

IdentifierTypeStateIssuer
051535977OtherALBC/BS OF ALABAMA
051535977OtherALBCBS OF AL PROVIDER #
1073680294MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL psychological621@comcast.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240717000831 AL Practitioner - Mental Health Counselor 5890230684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New South Psychiatry, PCGroup PAC ID 8921357898, 5 clinicians

Practice addresses (Care Compare)

3737 Government Blvd
Suite 312
Mobile, AL 36693-4361
Phone (251) 343-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MASTERSALMDAddiction (Substance Use Disorder) Counselor
4021ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
New South Psychiatry,PC CurrentSince May 2, 2024 Accepting new patients
Mental Health Center of North Central Alabama Inc. Past Accepting new patients
South Point Connection, LLC PastSince Aug 1, 2021 Accepting new patients

Locations

3209 Midtown Park S
Mobile, AL 36606
Phone (251) 525-9090

3737 Government Blvd
Ste 312
Mobile, AL 36693
Phone (251) 525-9090

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1073680294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 PICCADILLY SQUARE DR STE 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095217",
            "telephone_number": "251-343-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 PICCADILLY SQUARE DR STE 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095217",
            "telephone_number": "251-343-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 13th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356014308",
            "country_code": "US",
            "telephone_number": "256-355-6105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYZOD",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4021",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "MASTERS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ALABAMA",
            "identifier": "051535977",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL PROVIDER #",
            "identifier": "051535977",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073680294",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "psychological621@comcast.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6312 Piccadilly Square Dr Ste 3",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366095217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.