Active NPI
Alicia Bianca Spomer, LPC
- Professional Counselor
- Mobile, AL
National Provider Identifier
1265928030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4223
- Practice address
- 6300 Grelot Rd
Mobile, AL 36609-3602 - Phone
- (602) 633-5666
- NPI assigned
- Jul 5, 2018
- Last updated
- May 25, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-21335 | AZ | |
| Mental Health Counselor | 101YM0800X | 4223 | AL | |
| Professional Counselor | 101YP2500X | 4223 | AL | Primary |
Addresses
Primary practice location
6300 Grelot Rd
Mobile, AL 36609-3602
Mailing address
6300 Grelot Road
Ste G #51133
Mobile, AL 36609-3602
Phone (602) 633-5666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-21335 | Other | AZ | ARIZONA STATE BOARD OF BEHAVIORAL HEALTH EXAMINERS |
| 4223 | Other | AL | ALABAMA BOARD OF EXAMINERS IN COUNSELING LICENSED PROFESSIONAL COUNSELOR LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-21335 | AZ | MD | Mental Health Counselor |
| 4223 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Anchors Child & Adolescent Counseling LLC | Mental Health | Current | Accepting new patients |
| Transitions Counseling and Consulting | Mental Health | Past | Accepting new patients |
Locations
711 Belrose Ave
Daphne, AL 36526
6300 Grelot Rd
Mobile, AL 36609
Phone (251) 633-4938
6300 Grelot Rd
Ste G
Mobile, AL 36609
Organizations & group practices 2
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.
-
- Professional Counselor
- Mobile, AL
- NPI 1982190740
Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glendale, AZ
- NPI 1326414889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1265928030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 GRELOT ROAD",
"address_2": "STE G #51133",
"city": "MOBILE",
"state": "AL",
"postal_code": "366093602",
"telephone_number": "602-633-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 GRELOT RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366093602",
"telephone_number": "602-633-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOMER",
"first_name": "ALICIA",
"middle_name": "BIANCA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-21335",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "4223",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "4223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE BOARD OF BEHAVIORAL HEALTH EXAMINERS",
"identifier": "LPC-21335",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF EXAMINERS IN COUNSELING LICENSED PROFESSIONAL COUNSELOR LICENSE",
"identifier": "4223",
"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 May 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.