Individual provider Active NPI

Alicia Bianca Spomer, LPC

  • Professional Counselor
  • Mobile, AL
National Provider Identifier
1265928030
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4223 Issued in AL
Practice address
6300 Grelot Rd
Mobile, AL 36609-3602
Phone
(602) 633-5666
NPI assigned
Jul 5, 2018
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LPC-21335OtherAZARIZONA STATE BOARD OF BEHAVIORAL HEALTH EXAMINERS
4223OtherALALABAMA 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

LicenseStateTypeSpecialty
LPC-21335AZMDMental Health Counselor
4223ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Anchors Child & Adolescent Counseling LLC Mental Health CurrentSince Dec 1, 2019 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.

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.

Verify at the official NPI Registry.