Individual provider Active NPI

Thomas James Mott, LPC

  • Professional Counselor
  • Cumming, GA
National Provider Identifier
1306046933
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011164 Issued in GA
Practice address
5965 Parkway North Blvd Ste C
Cumming, GA 30040-1431
Phone
(770) 886-5700
Fax
(770) 886-0404
NPI assigned
Jul 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8164 SC
Professional Counselor 101YP2500X LPC011164 GA Primary

Addresses

Primary practice location

5965 Parkway North Blvd Ste C
Cumming, GA 30040-1431

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, VT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240102003187 SC Practitioner - Mental Health Counselor 4486004579 Reassigns benefits to 1 organization
I20240821000192 GA Practitioner - Mental Health Counselor 4486004579 Reassigns benefits to 1 organization
I20241119003807 VT Practitioner - Mental Health Counselor 4486004579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

5965 Pkwy N Blvd
Suite a
Cumming, GA 30040-1431
Phone (770) 886-5700

608 16TH Ave N
Suite G
Myrtle Beach, SC 29577-3537
Phone (843) 501-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC011164GAMDProfessional Counselor
8164SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle Beach Counseling Center Mental Health CurrentSince Aug 6, 2019 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Nov 12, 2024 Accepting new patients
Personal Recovery Network LLC Professional CurrentSince May 12, 2024 Accepting new patients
Charleston Counseling Center PC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

5965 Parkway North Blvd
Ste A
Cumming, GA 30040
Phone (470) 239-4846

5965 Parkway North Blvd
Ste C
Cumming, GA 30040
Phone (770) 475-8014

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

608 16th Ave N
Ste G
Myrtle Beach, SC 29577
Phone (843) 823-5132

145 Pine Haven Shores Rd
Shelburne, VT 05482
Phone (802) 316-4135

Organizations & group practices 4

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": "1185062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1306046933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 PARKWAY NORTH BLVD STE C",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401431",
            "telephone_number": "770-886-5700",
            "fax_number": "770-886-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-22",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8164",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.