Marilyn Johnson-Nelson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC03124 Issued in AL

Practice address

3065 Dauphin St
Mobile, AL 36606-4040

Phone

(251) 271-7017

Fax

(251) 220-5536

NPI assigned

Mar 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Street Health Physicians Group of Alabama, LLCGroup PAC ID 9133538432, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oak Street Health Physicians Group of Alabama, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1770161432
  Medicare reassignment Care Compare group NPD
• Paths to Empowerment Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Mobile, AL
  • NPI 1811517147
  NPD Authorized official
• Paths to Empowerment Counseling Services, LLC

  • Professional Counselor
  • Decatur, GA
  • NPI 1215353198
  NPD

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1295078053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064040",
            "telephone_number": "251-271-7017",
            "fax_number": "251-220-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 Tuscaloosa Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111637",
            "country_code": "US",
            "telephone_number": "205-235-4003",
            "fax_number": "205-941-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1687 Center Point Pkwy Ste 121",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352155525",
            "country_code": "US",
            "telephone_number": "205-557-7022",
            "fax_number": "205-831-2849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9339 McFarland Way",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366956909",
            "country_code": "US",
            "telephone_number": "251-604-8325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Rosa L Parks Ave",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361051502",
            "country_code": "US",
            "telephone_number": "334-777-1290",
            "fax_number": "334-746-7684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-NELSON",
        "first_name": "MARILYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-30",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "3124",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "3124",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "3124",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC03124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mobile, AL
• Providers in Mobile, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.

Verify at the official NPI Registry.