Individual provider Active NPI

Ejemhen Hines, LPC

  • Mental Health Counselor
  • Mobile, AL
National Provider Identifier
1093430209
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC05497 Issued in AL
Practice address
2970 Cottage Hill Rd
Mobile, AL 36606-4748
Phone
(251) 459-0681
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ALC04252 AL
Mental Health Counselor 101YM0800X LPC05497 AL Primary

Addresses

Primary practice location

2970 Cottage Hill Rd
Mobile, AL 36606-4748

Mailing address

2970 Cottage Hill Rd
Mobile, AL 36606-4748

Other practice location 1

300 State St
Mobile, AL 36603-6425
Phone (251) 234-3003

Other identifiers 2

IdentifierTypeStateIssuer
LPC05497OtherALALABAMA BOARD OF EXAMINERS IN COUNSELING
ALC04252OtherALALABAMA BOARD OF EXAMINERS IN COUNSELING

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

State licenses

LicenseStateTypeSpecialty
ALC04252ALMDCounselor
LPC05497ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Wellness, LLC CurrentSince Mar 30, 2025 Accepting new patients

Locations

300 State St
Mobile, AL 36603
Phone (251) 234-3003

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1093430209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 COTTAGE HILL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064748",
            "telephone_number": "251-459-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 State St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366036425",
            "country_code": "US",
            "telephone_number": "251-234-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "EJEMHEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "ALC04252",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC05497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF EXAMINERS IN COUNSELING",
            "identifier": "LPC05497",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF EXAMINERS IN COUNSELING",
            "identifier": "ALC04252",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "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 Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.