Aliesha Mumford

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MSW008638 Issued in GA

Practice address

116 Pierce Ave
Macon, GA 31204-2891

Phone

(478) 464-3004

NPI assigned

Apr 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Methodist Home of the South Georgia Conference

  • Community/Behavioral Health Agency
  • Macon, GA
  • NPI 1497132914
  NPD (past)

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1396487302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WILLIAM JOHN LN",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310054314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042891",
            "telephone_number": "478-464-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMFORD",
        "first_name": "ALIESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MSW008638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aliesha.mumford@themethodisthome.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "116 Pierce Ave",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312042891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Earl Nicholas Mullis Jr., M.D.
• Jonathan T Mullis, PA-C
• Joshua Mullis, NP-C
• Lori Beecher Mullis, FNP-C
• Maegan Griffin Mullis, FNP-C
• Rana K Munna, M.D.
• Dominique Derek Munroe, MD, MPH
• Oyekunle Ismail Muraina, MD
• Kimberly Gamble Murdock, NP-C
• David K Murnan, OD

• Mental Health Counselor in Macon, GA
• Providers in Macon, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.