Individual provider Active NPI

Jeffrey Lamar Eiland

  • Clinical Social Worker
  • Hoover, AL
National Provider Identifier
1265120646
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5331C Issued in AL
Practice address
309 Three Sons CT # 309
Hoover, AL 35226-2953
Phone
(205) 529-0867
NPI assigned
Apr 25, 2023
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5331C AL Primary

Addresses

Primary practice location

309 Three Sons CT # 309
Hoover, AL 35226-2953

Mailing address

309 Three Sons CT # 309
Hoover, AL 35226-2953
Phone (205) 529-0867

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
5331CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Psychotherapy, LLC CurrentSince Sep 5, 2023 Accepting new patients

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, 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": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1265120646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 THREE SONS CT # 309",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352262953",
            "telephone_number": "205-529-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 THREE SONS CT # 309",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352262953",
            "telephone_number": "205-529-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILAND",
        "first_name": "JEFFREY",
        "middle_name": "LAMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5331C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.