Active NPI
Robert James Layzod, LPC
- Mental Health Counselor
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MASTERS
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051535977 | Other | AL | BC/BS OF ALABAMA |
| 051535977 | Other | AL | BCBS OF AL PROVIDER # |
| 1073680294 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MASTERS | AL | MD | Addiction (Substance Use Disorder) Counselor |
| 4021 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New South Psychiatry,PC | Current | Accepting new patients | |
| Mental Health Center of North Central Alabama Inc. | Past | Accepting new patients | |
| South Point Connection, LLC | Past | 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.
-
- Neurology Physician
- Mobile, AL
- NPI 1063913630
-
- Community/Behavioral Health Agency
- Decatur, AL
- NPI 1124193636
-
- Adult Mental Health Clinic/Center
- Mobile, AL
- NPI 1447923164
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.