Organization Active NPI

Mothering Mother, LLC

  • Mental Health Counselor
  • Salisbury, MD
National Provider Identifier
1699246058
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOTHERING MOTHER, LLC
Practice address
7606 Kowen Ave
Salisbury, MD 21801-2120
Phone
(443) 953-0212
NPI assigned
Dec 11, 2018
Last updated
Dec 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Meisha Aleya ShockleyNPI 1417364183
Title
Owner
Phone
(443) 953-0212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Social Worker 104100000X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

7606 Kowen Ave
Salisbury, MD 21801-2120

Mailing address

7606 Kowen Ave
Salisbury, MD 21801-2120
Phone (443) 953-0212

Other identifiers 1

IdentifierTypeStateIssuer
1417364183MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Mothering Mother LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1699246058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 KOWEN AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012120",
            "telephone_number": "443-953-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 KOWEN AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012120",
            "telephone_number": "443-953-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERING MOTHER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "MEISHA",
        "authorized_official_middle_name": "ALEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-953-0212"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417364183",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.