NPIMap

Individual provider Active NPI

Marquita S. Mansfield, LPC

  • Professional Counselor
  • Oxford, AL
National Provider Identifier
1609344340
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4216 Issued in AL
Practice address
12 Village Dr
Oxford, AL 36203-8646
Phone
(205) 434-1578
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4216 AL Primary

Addresses

Primary practice location

12 Village Dr
Oxford, AL 36203-8646

Mailing address

12 Village Dr
Oxford, AL 36203-8646
Phone (256) 405-9378

Other practice location 1

12 Village Dr
Oxford, AL 36203-8646
Phone (256) 525-1602

Other practice location 2

1525 Leighton Ave Ste B
Anniston, AL 36207-3805
Phone (256) 343-4080

Other practice location 3

2111 Hwy 78 E.
Suite 1
Anniston, AL 36207
Phone (256) 405-9378

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
4216ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Platform Counseling Services LLC CurrentSince Apr 6, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Stepping Stones to Success, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marquitamansfield@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1609344340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 VILLAGE DR",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362038646",
            "telephone_number": "256-405-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 VILLAGE DR",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362038646",
            "telephone_number": "205-434-1578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "AL",
            "postal_code": "362038646",
            "country_code": "US",
            "telephone_number": "256-525-1602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Leighton Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362073805",
            "country_code": "US",
            "telephone_number": "256-343-4080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 Hwy 78 E.",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "36207",
            "country_code": "US",
            "telephone_number": "256-405-9378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "MARQUITA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.