Active NPI
Alyssa Moody, ALC
- Counselor
- Daphne, AL
National Provider Identifier
1477404424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- ALC04997
- Practice address
- 123 Lake Forest Blvd
Daphne, AL 36526-7517 - Phone
- (251) 490-3389
- NPI assigned
- Feb 5, 2026
- Last updated
- Feb 5, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ALC04997 | AL | Primary |
Addresses
Primary practice location
123 Lake Forest Blvd
Daphne, AL 36526-7517
Mailing address
123 Lake Forest Blvd
Daphne, AL 36526-7517
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 |
|---|---|---|---|
| ALC04997 | AL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1477404424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 LAKE FOREST BLVD",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 LAKE FOREST BLVD",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267517",
"telephone_number": "251-490-3389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "ALYSSA",
"credential": "ALC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "ALC04997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
- Michelle Mills, RN
- Tiffany Nicole Mitchem, PHARMD
- Mobile Care-a-Vein LLC.
- Mobile Infirmary Association (MIMC Specialty and Home Infusion Pharmacy)
- Julie Ann Mohler, MS, OTR/L
- Joanna Moody, LICSW
- Elizabethann Moore, PH.D.
- Morris Pediatric Counseling & Counsultation, LLC
- Mary Gwin Morris, OT
- Anna Reed Morrow
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.